Cowbridge Youth Circus Sign Up Form
Welcome to Fiery Jacks' Youth Circus! We look forward to having you join us!!
Please complete this form to register. 
 
The new term starts on Wednesday 27th September - drop off at at 10, pick up at 11:30!
It is a 5 week term at £50.
If you have any questions please do send us a message at fieryjackscic@gmail.com

Sign in to Google to save your progress. Learn more
Email *
Student: Name *
Student's Date of Birth: *
MM
/
DD
/
YYYY
Next of Kin: Name *
Relationship to Student *
Contact Number *
Would you like to be added to our mailing list to find out about further events from Fiery Jacks? *
Parent/Guardian Signature: *
Welcome to Fiery Jacks!!
Your place will be confirmed once payment has been received. 
The six week term is £60. 
Name: Fiery Jacks C.i.C.
A/c Number: 20478143 
S/c:  52-21-07

Before joining your first session please fill in this health info form: https://forms.gle/zknNewkySkShzVXX8 

If you'd like to contact us please do email fieryjackscic@gmail.com 

Information will be stored and used in line with GDPR and will not be shared with other parties. The information you give is kept confidentially. We will NOT contact you for marketing or promotional purposes without your consent and will never share your information with any third party without your permission.  
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms