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Circus Fusion: Circus Medicine Education Application
Fuse your passion for circus with clinical knowledge for a career you love!
(only 10 spots available)
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* Required
Name
*
Your answer
Email Address
*
Your answer
In what way do you work with circus bodies? (check all that apply)
*
Physical Therapist
Chiropractor
MD/DO
Other Healthcare Provider
Student PT/DC/MD
Coach / Instructor Personal Trainer
Recreational artist (working with your own body!)
Other:
Required
What is your current type of involvement with circus artists? (eg % of caseload, personal training, type of classes teaching, etc)
Your answer
In the next 3-6 months, how would you like your involvement with circus artists to change?
Your answer
Is there anything in particular you feel has been holding you back?
Your answer
What about this program appeals to you most? How is it valuable to your practice and career journey?
Your answer
If we are working together, how would you define success after 12 weeks?
Your answer
This program is filled with a diverse group of clinicians who all want to contribute to the conversation. What makes you unique? What is your perspective? (eg Do you have a strong circus background? Are you a clinician who has never worked with circus artists? Are you a researcher? What is your healthcare background?)
Your answer
This twelve week program is designed to help you gain confidence to work with circus artists and get them back to doing what they love. AND give you the tools to start or grow your circus medicine client base. Is that something that sounds like what you are looking for?
Yes
No
Other:
Clear selection
If you live in the US and need them for your license, would having CEs available for parts of this course add value for you?
Yes, it the only way I could join
Yes, it would add value
Not really but it would be nice
Nope, I’m in no matter what
Clear selection
If so, what state do you live in?
Your answer
Thank you for filling out the application! Your application will be reviewed and if you qualify, you will receive a link to schedule a discovery call so I can learn more about YOU.
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