Lost Performers Club Application Form

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Application form to join the Lost Performers Club - A new circus and physical theatre training opportunity for Disabled and Non Disabled performers, aged 18+.

Please fill in this application form so we can get to know a bit more about you, any experience you may have as a performer, & what you are hoping to get out of this opportunity.

Bullet points are fine.

You can record your answers or send them in a different way, please email to circushubnotts@gmail.com.

Email *

Record my email address with my response

Name *

Date of Birth *

YYYY

Why are you interested in this opportunity?

-things to consider, what excites you about this project?

What would you hope to get out of this opportunity? *

What do you enjoy most about performing & being on stage? *

Why do you need this opportunity now?

Do you have any access requirements?

Yes, please give details below

Clear selection

Please give details of access requirements, if you answered yes to the above question

Would you be able to commit to 3 or 4 weekends over the summer? *

Yes

Maybe

Required

Can you make one of the taster sessions? (You don't have to be able to make the session to apply)

Yes, I can make the 26th of January 1-2pm at Deda, Derby

Yes, I can do the 2nd of February 1-2pm at Circus Hub, Nottingham

Option 3

Submit

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