2025 Circus Smirkus Trouper Homestay Host Application

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Email *

Show Site *

You may choose more than one. The dates reflect the pick up date through drop off date.

Waterbury, VT: June 30-July 4 (4 nights)

Middlebury, VT: July 4-7 (3 nights)

Manchester, VT: July 7-10 (3 nights)

Spencer, MA: July 10-14 (4 nights)

Harwich, MA (presented site): July 14-17 (3 nights)

Greenfield, MA (presented site): July 17-21 (4 nights)

Wrentham, MA: July 21-24 (3 nights)

Waltham, MA: July 24-28 (4 nights)

Marshfield, MA: July 28-31 (3 nights)

Newbury, MA (presented site): July 31-August 3 (3 nights)

Kennebunkport, ME (presented site): August 3-7 (4 nights)

Cumberland, ME (presented site): August 7-10 (3 nights)

Hanover, NH: August 10-13 (3 nights)

Milton, VT: August 13-16 (3 nights)

Required

How many adults over the age of 18, including yourself, will be present in your household while you host Smirkus troupers? *

In the next section you will provide information for each adult over 18, including yourself, so that we can conduct background checks.

Background checks of all adults in the home are required to ensure the safety and security of our young performers. Thanks so much for your detailed information.

Host Parent 1 - Full Legal Name *

Host Parent 1 - Birthdate *

YYYY

Host Parent 1 - Email Address *

Host Parent 2 (if applicable) - Full Legal Name

Host Parent 2 - Birthdate

YYYY

Host Parent 2 - Email Address

Please tell us about the other adults over the age of 18 in your household below.

Include:
-Full legal name

-Birthdate including month, day, and year

-Email address

*If there are no additional adults in your household, simply enter N/A.*

Names, birthdates, and emails of other adults in household: *

(simply type N/A if not applicable)

Permanent Physical Address: *

*Please include Street, City, County, State, Zip*

Secondary Address

(Address of rental property; to be used for families who will be renting a home to host troupers)

Primary Phone *

Secondary Phone

Can you provide supervision for the troupers during the entire time they are away from Smirkus staff? *

If not, please explain how you plan to manage the time you will be away.

Is your schedule flexible enough to accommodate the troupers’ transportation schedule? If not, how do you plan to get the troupers to and from the show site (carpool, etc.)? *

*A licensed adult (21 years of age or older) must drive the troupers’ back and forth to site; troupers are NOT allowed to drive themselves.

Describe the accommodations you can provide for the troupers. Ex: Will they have their own rooms? Types of beds? Share a bathroom? *

Please refer to the guidelines outlined in the Homestay Handbook for a list of reasonable accommodations.

Do you own firearms? *

Yes

If you own firearms, how are they stored? *

(if you do not own firearms, please put "N/A")

Are there smokers in your home? *

Yes

Do you have pets? If yes, please tell us about them. *

(Including caged animals e.g. snakes or hamsters).

What is the distance in miles from your home to the show site? How long does it take you to drive to the site? *

Ideal number of troupers you'd like to house? *

*minimum of 2

Maximum number of troupers you can house? *

Do you have preferences as to the ages and genders of the troupers who may stay at your home? *

If so, please indicate. We will do our best to accommodate your preference but if we are unable, would you still consider hosting?

Have you hosted Circus Smirkus troupers in the past? *

You may also use this space to let us know if there are specific troupers you would like to house this summer. We cannot always guarantee requests, but do our best to honor them whenever possible.

Some of our troupers have special dietary needs that as a homestay provider, you would be asked to accommodate. With advanced notice are you willing to host a trouper that may be vegetarian, vegan, lactose intolerant, or gluten-free? *

Please select which diets you CAN accommodate for.

Gluten Free

Vegetarian

Dairy Free

Vegan

Lactose Intolerant

Other

Unable to accommodate special diets

Required

Please list the name, email, phone number, and relationship to you of two personal references. *

(ie: principal or director of your child’s school, members of your community or religious group, co-worker, etc.)

What's your availability for a 5-10 minute phone conversation?

(ex. Mondays after 3pm EST, Weekends all day, Weekdays 8am-2pm EST)

I have received *and read* the Smirkus Homestay Handbook *

(if you have not received the handbook, email homestays@smirkus.org)

yes

A copy of your responses will be emailed to the address you provided.

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