Circus Skills at West Mids Circus Centre

For SEND young people and their siblings aged 9-14 years old.  Responsible adults must stay on site and supervise young people during the session.

Places at this session cost:

• for Club Member only £2.50
• for Club Member and a Sibling £4.00
• for Club Member and two Siblings £5.00

West Midlands Circus Centre is based at Edgbaston Quaker Meeting House, 10 St. James Road, Birmingham B15 1JP and dedicated to developing circus skills and physical theatre.  The centre is known for provision of a wide range of inclusive opportunities for all ages.  Parking onsite is limited and on side streets.   Buses 61 63 X 61  There is an on site cafe and accessible toilets,

To book places at this event, you’ll need your Club Membership number.  Check here if you have forgotten your number and – if you haven’t joined yet, then you can join here for free!

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Event

Young Person's name *

First

Last

Date of Birth *

Gender *— Select Choice —FemaleMaleOtherPrefer not to say

Membership Number *

Responsible Adult's Name *

First

Last

Responsible Adult's Phone Number *

Responsible Adult's Email Address *

How many young people are you booking for? *— Select Choice —Member only – £2.50Member and a Sibling – £4.00Member and Two Siblings – £5.00

Gender 1 Birth

Sibling 1 Name *

Sibling 1 Date of Birth *

Sibling 1 Gender *— Select Choice —FemaleMaleOtherPrefer not to say

Sibling 2 Name *

Sibling 2 Date of Birth *

Sibling 2 Gender *— Select Choice —FemaleMaleOtherPrefer not to say

Total

£0.00

Stripe Credit Card *

SEND FORM