*Safety First Agreement & Assumption of Risk Declaration - The Circus Arts Conservatory
Each participant must have their own form filled out (siblings can not share one form).  

Must be eighteen (18) years or older to fill out this form.  

DO NOT PRINT THIS FORM AND BRING TO THE CAC. WE ONLY ACCEPT THIS FORM IN A DIGITAL FORMAT. Use your smartphone, tablet or computer to complete this form.  

The Circus Arts Conservatory, safety is one of our core values.  As the outbreak of COVID-19 continues to evolve and spread globally, we are closely monitoring the situation and recommendations provided by the CDC.

 


Forms must be completed online. Please do not print and bring with you as hard copies will not be accepted.
** Form updated 9/2023

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Email *
Last Name (participant ) *
parents / guardians please add the name of the person ATTENDING the class.
First Name (participant) *
parents / guardians please add the name of the person ATTENDING the class.
Nickname
Date of Birth (Participant)  *
Please add the Birth Date of the person taking the class.  MAKE SURE TO PUT THE CORRECT DATE, FALSE dates will result in the form being void and a new form will be required to participate in CAC classes. 
MM
/
DD
/
YYYY
Age of Participant *
This helps the staff and coaches to prepare their classes.
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