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Password * eye_icon eye_slash_icon cancel1 check1 Eight characters minimum cancel1 check1 One lowercase letter cancel1 check1 One uppercase letter cancel1 check1 One number cancel1 check1 One special character Enter Password Confirm Password * eye_icon eye_slash_icon Confirm Password Birthday Date (this will not be retained in our records) * Age * Parent/Guardian Name * Parent/Guardian Name First Name First Name Last Name Last Name Parent/Guardian Phone Number * Acro-biography: experience, acro goals, current training regime/routine (where, how, with who, what, when) Life-Bio: Other hobbies you’re into (music, sports, other activities, work) Social Display my website info on my public profile? * Yes No Website * Display my Instagram info on my public profile? * Yes No Instagram Profile * Display my Facebook info on my public profile? * Yes No Facebook Profile * Profile Picture - if you choose to provide one, it MUST be of yourself. Drop a file here or click to upload Choose File Maximum file size: 268.44MB Please attach a .jpg, .png, .gif or .mpg image. By attaching an image to use as your profile picture you assert that you have rights to use the image and it is not illegal, pornographic or violent in any way. Are you an instructor? Yes What do you teach? Aerials Silks Hammock/Sling Straps/Loops Lyra/Hoop Trapeze Other... Aerials Other - Please Specify Acro Yoga/Partner Acro Hand Balancing Contortion Tricking Acrobatic Calisthenics Sport Acro Acro Dance Gymnastics Tumbling Trampoline Other... Gynmnastics Other - Please Specify Terms, conditions and information use. * I agree to the terms and conditions noted below. This form collects your name, email address, contact number and location as well as any social media links you care to share. This information will be used for your account creation with Acroessence, and will be used, or not used, based on your selections, in the directory. Your birthdate is not retained, it is used solely to calculate your age as it pertains to parent/guardian consent needs. TESTING SECTION ONLY Country * Province/State * City * Register If you are human, leave this field blank.