The Circus Space Interest List Application Form
Beginner Plus Students only

This form is for students who have previous experience in Static Trapeze, Flying Trapeze or Corde-Lisse and would like to put their name on to a interest list for higher level aerial courses at The Circus Space. If you have relatively little experience in these disciplines you will need to participate in one of our Introduction to Circus Skill Workshops .
   
   
  Personal Details  - We will primarily contact you via email, so please ensure that you check your emails regularly for offers of a space or requests for further information
     
 
First name
 
Surname
 
Address
 
Postcode
 
Home phone
 no spaces please
 
Work phone
 no spaces please
 
Mobile phone
 no spaces please
 
E-mail address
     
  Skill Area - please check one button only
     
  Flying Trapeze Static Trapeze Corde-Lisse
     
  Previous Experience - please give us as much information as possible
     
 

Last course taken
  Start Date e.g. 25/03/2005
  End Date
  Where did you study
 

How Often

 

Teachers name
  Skills learnt
Please give as much information as possible. e.g. able to beat through to pike, hold a back balance/front balance, back planche etc.
  Performance History
Please give details of recent performances that you have done in the above discipline 
  Learning Objectives
Please give details of any specific objectives or learning goals, that you would like to achieve
     
  Levels - Please select one of the following that you feel best describes your level or as defined by your current / last teacher
     
  Current Level
     
 

Availability - Please tick all that apply
Please note: Static courses take place every day of the week. Flying courses take place Monday-Friday. Corde-Lisse courses take place on a Thursday & Friday.
     
  Date available to start
  Available until
     
  Suitable days Mon Tue Wed Thur Fri Sat Sun
     
  Suitable times Mon-Fri 6.15-8.15pm 8-10pm
    Sat-Sun 12-2pm 2.15-4.15pm 4-6pm
     
 

DATA PROTECTION & PRIVACY
The Circus Space holds your personal data for the purpose of carrying out its business. You have the right to have a copy for your information (for which a small charge may be made) and to have any inaccuracies corrected
As part of our service to you, we would like to use your name and address for marketing purposes. However, under the Data Protection Act (March 2000) we require your consent for this. If you do wish to receive further information from us please select the appropriate option.
     
 

WHAT HAPPENS NEXT?
Your application will be reviewed by the appropriate teachers at the next aerial meeting that normally take place every six-weeks. In this meeting we will assign you a level based on the above information and in-line with our criteria. We will feedback to you the level we assign you. Please note that we may contact you for further clarification or information.When an appropriate course space becomes available for your level we will contact you via email. For your information, when recruiting new students, the following priorities apply:

1. Current needs of established class that the new recruit will join
2. Needs and compatibility of the new recruit for the available place
3. Next person deemed most suitable for the first available class space

As this is a very popular course it may be anywhere between 3 – 18 months before you’re offered a course.
   
 

WHAT YOU CAN DO IN THE MEAN TIME:
Acrobatic Balance / Handstands / Tight-wire

 

SUBMIT FORM