5th Northland Circus Festival
.jpg) 3-day Weekend Pass is $50 payable in advance. Please phone us for a registration form.
1- day Pass can be purchased at the Festival for $25, or workshops can be paid for individually.
3-day Weekend Pass is $50 payable in advance. Please phone us for a registration form.
1- day Pass can be purchased at the Festival for $25, or workshops can be paid for individually.
Registration Form
5th Northland Circus Festival: 22nd–24th January 2010
Family festival with lots of workshops, games, shows and fun for all ages and abilities.
Pre-register for a weekend pass or pay $25 per day at the Festival, or pay per workshop at the Festival.
3-day Weekend Pass for $50 suitable for beginners and advanced; experience a wide range of circus skills including Rola bola, Pedalo, Unicycle, Stilts, Tight rope, Globe walking, Acrobatic and Acrobalance, Trapeze/Tissue, Hula Hoop, Juggling.
The 3-day pass entitles you to a minimum of 2 workshops per day, entry to Shows, Circus Olympics, Movies etc.
Other activities include parachute games, Circus Poster competition, Face Painting, making Juggling balls
Participant’s names:
1. Name: ________________________________________________ Age: __________
2. Name: ________________________________________________ Age: __________
3. Name: ________________________________________________ Age: __________
4. Name: ________________________________________________ Age: __________
Postal Address: __________________________________________________________
______________________________________________________________________
Email: ____________________________ Ph: ________________ Date: ____________
Total Payment for 3-day Festival Pass(es) at $50 per person (ages 4 +) $__________
Camping: $10 per adult/night $5 per child/night - no charge for under 3s.
This must be booked and paid for when registering for the festival.
Arrival date: ____________________________ Departure Date: _____________
Number of adults: _________for _________nights
Number of children: _________for _________nights
Total payment for camping: $_________
Grand total of workshop fees and camping fees) $______________
Payment by your preferred method): Internet banking: Yes / No. Cheque: Yes / No
Internet Banking for direct payments to: Kumarani Productions
To Account Number: 12 3098 0268403 00
Reference: Your Name
And: Please return this completed application to
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or Circus Kumarani, 14 Parenga Street, Dargaville 0310, Northland, New Zealand
Or cheque: to the value of $_______ Please print out this form and post with payment to Circus Kumarani, 14 Parenga Street, Dargaville 0310, Northland, New Zealand
Would you like a receipt mailed to you? Yes / No
Disclaimer:
The Kai Iwi lakes are a natural environment which contains a number of hazards. The organizers wish to point out under no circumstances should children be allowed to play unsupervised in or near the lakes. Kumarani Productions t/a Circus Kumarani, and all of its staff and agents will accept no responsibility for any accidents of any kind which might occur during a workshop and throughout the festival. Children under the age of 14 years must be supervised by an adult. All participants enter at their own risk.
Please sign here to accept disclaimer for all participants registered above: _________________________________
The Fine Print:
All Weekend Pass payments must be made in advance; sorry no refund policy applies.The organiser reserves the right to change workshops and schedules
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Buskers Festival 16th January 2010