Circus School name: ………………………………………………………..………………………………………..…….....................…

 

License n.: …………………………………………………..…………………….…………………..……..……………......................…

 

Address: ​.…………………………………………..…………………………………………………….….…………......................….…

 

Location (State): …………………………………………...……………….………….…………………....................….….............……

 

Email: ………………………………………………………………………….……………….……………………...................……….… 

 

Phone n.: .......................................................................................WhatsApp:………………………………………..……...……….…

 

Instagram: ………………………………………………………………………………………..….……………….......................………

 

Facebook: …………………………………………………………………………………………….………………………….................

 

Open from: Date: .……./….……/…….………..Specialized in: ………………………………………………...................…………..

 

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Student full name: ……………………………………………………………………….…....…....…………......……........................…     

    

Passport or I.D n.: …………………………………………………..……………………………….………….……….........……..….…

 

 Date of Birth: ….....…/……..…/….…............   Age: ................

 

Discipline:  ………………………………………………………………… Circus Style: …………………..……………….............…..

 

Age group category: …………………………… Level: ………………………… Soloist/Duo/Trio/Team: .……………..........……

   

Address: ……………..................................................................................................…….……….…………………….……...........…

 

​State: ......................................................................................................................................................................................................

 

Email: ………………………………………………………………………….……………….…………………………….……...........…    

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Phone n.: ...................................................................................WhatsApp: …………........................…………………………………

 

Instagram: …………………………………………………………………………………………………………………………..........…

 

Facebook: ………………………………………………………………………………………………………………………..............…