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Pitch Catch Acrobatic Application Form, Fall 2018
Fall 2018
Personal Details
Name *
First
Last
Age *
You must be at least 18 years old to apply
Nationality *
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
Please fill in below *
Address line 1
Address line 2
City
State
Zip code
Country
e-Mail address *
What block of time are you applying for? *
Will you be applying for the Pitch Catch Work Exchange Scholarship?
Clear selection
Web address
Do you have a website or performance page to share with us?
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.
Educational History *
Please tell us about your schooling, both traditional and non-traditional. Include relevant workshops, intensives and private courses.
About your tricks *
What tricks are you currently working on?
What advanced moves do you feel solid and comfortable with?
What tricks would you like to learn or improve while at Pitch Catch?
Have you ever performed acrobatics professionally or as an amateur? *
If so, please provide details of your experience.
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?
About You
What talents, traits or skills do you have that set you apart from others? *
Tell us about you!
Your abilities *
What are your greatest strengths, both as an acrobat and an individual?
About you *
What are your weaknesses, in training and personally?
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.
Medical History
Do you have any injuries, past or present, that may effect your training? *
Do you have any medical illnesses we should be aware of? *
Are you currently taking any long-term or semi-permanent medication? *
Required
*If yes, please provide details
Have you ever had an epileptic seizure? *
Required
*If yes, please provide details
Have you ever been treated for diabetes? *
Required
*If yes, please provide details
Have you ever had high blood pressure? *
Required
*If yes, please provide details
Do you suffer from asthma? *
Required
*If yes, please provide details
Have you ever had a neck or head injury/concussion? *
Required
*If yes, please provide details
Emergency Contact *
Name
Relationship
Telephone Number
e-Mail Address
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