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Pitch Catch Acrobatic Application Form, Fall 2020
Fall 2020
Personal Details
Name *
First
Your answer
Last
Your answer
Age *
You must be at least 18 years old to apply
Your answer
Nationality *
Your answer
Sex *
I feel most comfortable as *
Are you applying with your acrobatic partner? *
Required
*If yes, please write the name of the partner(s) you are applying with
Your answer
Please fill in below *
Address line 1
Your answer
Address line 2
Your answer
City
Your answer
State
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Zip code
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Country
Your answer
e-Mail address *
Your answer
What block of time are you applying for? *
Web address
Do you have a website or performance page to share with us?
Your answer
How did you hear about this course? *
Previous Experience
Training History *
Please provide details of any movement, athletic or circus training you have previously had. Include regularity and intensity.
Your answer
Educational History *
Please tell us about your schooling, both traditional and non-traditional. Include relevant workshops, intensives and private courses.
Your answer
About your tricks *
What tricks are you currently working on?
Your answer
What advanced moves do you feel solid and comfortable with?
Your answer
What tricks would you like to learn or improve while at Pitch Catch?
Your answer
Have you ever performed acrobatics professionally or as an amateur? *
If so, please provide details of your experience.
Your answer
What are your goals and expectations for this course? *
What do you hope to accomplish, in what way do you see Pitch Catch helping you to attain these goals?
Your answer
About You
What talents, traits or skills do you have that set you apart from others? *
Tell us about you!
Your answer
Your abilities *
What are your greatest strengths, both as an acrobat and an individual?
Your answer
About you *
What are your weaknesses, in training and personally?
Your answer
Video Submission
Link the video section of your application here. *
Please refer to the video criteria and paste the link of your video application in the space below. If you already have a training or performance video that showcases your skills you may use that.
Your answer
Medical History
Do you have any injuries, past or present, that may effect your training? *
Your answer
Do you have any medical illnesses we should be aware of? *
Your answer
Are you currently taking any long-term or semi-permanent medication? *
Required
*If yes, please provide details
Your answer
Have you ever had an epileptic seizure? *
Required
*If yes, please provide details
Your answer
Have you ever been treated for diabetes? *
Required
*If yes, please provide details
Your answer
Have you ever had high blood pressure? *
Required
*If yes, please provide details
Your answer
Do you suffer from asthma? *
Required
*If yes, please provide details
Your answer
Have you ever had a neck or head injury/concussion? *
Required
*If yes, please provide details
Your answer
Emergency Contact *
Name
Your answer
Relationship
Your answer
Telephone Number
Your answer
e-Mail Address
Your answer
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