Circus Skills in Kings Heath

Have fun and make friends this August learning circus skills and Circus Mash in Kings Heath.  Previous experience is not necessary and the team at Circus Mash welcome children and young people with a wide range of additional needs to these SEND-exclusive sessions.  Parents/carers stay on site.  All Saints Community Cafe is on site with a choice of healthy lunches.

For information about Circus Mash – have a look at https://www.circusmash.co.uk/classes/youth-classes/   And make contact at email: info@circusmash.co.uk  phone: 0121 439 2530

Circus Mash is based at All Saints Community Centre, 2 Vicarage Road, Kings Heath, Birmingham  B14 7RA  There is some parking on nearby streets; the nearest station is Kings Heath; and buses 11, 27, 35, 50 and 76 stop outside the centre.

BOOKING FORM:

Please enable JavaScript in your browser to complete this form.

Event

Young Person's name *

First

Last

Date of Birth *

DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Gender *— Select Choice —FemaleMaleOtherPrefer not to say

are Date 2

Membership Code *

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 onlyMember and a SiblingMember and Two Siblings

Sibling 1 Name *

Sibling 1 Date of Birth *

DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

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

Sibling 2 Name *

Sibling 2 Date of Birth *

DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

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

Total

£0.00

BOOK IT!