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Women & Non Binary Acro Weekend Registration Form
Applications deadline Friday 21st April 2023, 5pm.
Dates: 2pm Friday 19th through to 5pm Sunday 21st May 2023
Venue:
Leeds Centre for Aerial Arts,
Unit 5, Cardigan Trading Estate, Lennox Road,
Kirkstall, LS4 2BL
* Indicates required question
Email
*
Your email
1.1 Full Name (First and Last Name)
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Your answer
1.2 What is your preferred pronoun?
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Your answer
1.3 Contact Number
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Your answer
1.4 Town/City Country of Residence
Your answer
2. Please share your level and experience in AcroYoga / Acro Balance / Partner Acrobatics.
2.1 Please tick as many of the following skills you can do in a safe and consistent way as a BASE.
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Not done any Acroyoga / Acro Balance / Partner Acrobatics
Reverse Shoulder-stand on feet / Reverse Star (as a base)
L Base extended Foot to Hand (as a base)
Icarian Pops (as a base)
L basing Whips (as a base)
Hand to Hand on an L Base (as a base)
Standing Foot to Hand (as a base)
Jumping in to standing Hand to Hand (as a base)
Required
2.2 Please tick as many of the following skills you can do in a safe and consistent way as a FLYER.
*
Not done any Acroyoga / Acro Balance / Partner Acrobatics
Reverse Shoulder-stand on feet / Reverse Star (as a flyer)
L Base extended Foot to Hand (as a flyer)
Hand to Hand on the L Base (as a flyer)
Standing Foot to Hand (as a flyer)
Jumping in to standing Hand to Hand (as a flyer)
Icarian Pops (as a flyer)
L basing Whips (as a flyer )
Required
3. Please share your level and experience of handstands
3.1 Please tick as many of the following handstand skills you can do in a safe and consistent way.
*
Can't do handstands
Handstand against a wall or with a spotter for up to 30 seconds
Handstands on canes with a spotter
One-Arm handstand with a spotter
Handstand in the middle of the room without a spotter for 20 seconds
Handstand on canes without a spotter
One-Arm handstand without a spotter
Required
4. As well as partner acrobatics, we plan to offer a broad range of circus skills and complementary training styles. Please share what you are interested in attending.
4.1 Body Contortion
Would like to attend
1
2
3
4
5
Not interested in attending
Clear selection
4.2 One-arm handstands
Would like to attend
1
2
3
4
5
Not interested in attending
Clear selection
4.3 Aerial Hoop Doubles
Would like to attend
1
2
3
4
5
Not interested in attending
Clear selection
4.4 Acro Dance
Would like to attend
1
2
3
4
5
Not interested in attending
Clear selection
4.5 Please share anything else you would be interested in attending?
Your answer
5. Medical Information
Is there anything we need to know in case you have a medical emergency?
5.1 Please share anything that may inhibit your ability to participate fully over the weekend or that would be useful to know in case of a medical emergency?
Your answer
5.2 Emergency Contact Name & Relationship to you
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Your answer
5.3 Emergency Contact Number
*
Your answer
5.4 We aim to provide a limited variety of snacks to help keep your energy levels up during our weekend. Please share any dietary preferences and or allergies that we need to be aware of? NOTE lunch and dinner will NOT be provided.
Your answer
6. Safety and Risk Declaration
The following requires you to acknowledge your acrobatic abilities and responsibility when training with others.
6.1 I understand that training acrobatics has risks and I may incur an injury to myself or to those that I train with. I understand that I am responsible for my own training and share this responsibility with those I train with.
*
I understand and accept this responsibility
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