First name *

Name *

Age *

Address (#, street, app.) *

Postal Code *

City *

Province *

Country *

Phone number *

Personal email address *

Parent's email address *

In which city do you wish to participate in our pre-selection? * - Other cities will be available shortly-

Have you already practiced circus arts, dance, theater and/or an acrobatic sport? *

Yes

No

If yes, which one(s)?

How many years have you been practicing? *

How many hours per week? *

Are you a member of a circus school, a sportive club or an art school? *

Yes

No

If yes, which one?

What are the reasons which motivate you to do the pre-selection? *

How did you hear about our preselection tour? * - Sélectionner -ENC's WebsiteENC's NewsletterFacebookInstagramAdvertising BannerCoach/TeacherFriendOther

Do you want to receive our e-newsletter?

YES

NO

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