LOC New Venue Form

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LOC New Venue Form

We are so excited to bring Laughter on Call to your community!

When we begin working with a new client, either One-on-One, Improv, Stand Up, or Memoir Classes, we gather important information up front so we can deliver laughter and cognitive engagement customized for you and your residents.

We encourage you and/or members of your staff to join us; it’s a lot of fun for everyone!

Please respond to the questions below.

Email *

Name & Address of Community: *

Point of Contact: *

Phone number: *

Approximate number of attendees? Age range (if an intergenerational show or event)?

Will the participants be primarily in early, middle or late-stage dementia or should we anticipate a mixed group?

How many of the participating residents are wheelchair bound?

Are any of your residents able to sit or stand for any period of time in order to participate in games?

Are there any other health concerns, emotional, cognitive or physical factors we should know about with any residents attending the class?

Any singers, musicians, actors, artists, creatives in the group?

Are there any topics that you feel are off limits?

Any other details about your community that you would like us to know about? For example, sometimes there is a religious focus.

Gentle reminder to make sure the space where the class will take place is an open, relatively quiet room with no distraction to help with focus.

Thank you again for your time and we look forward to delivering quality engagement and laughter to your community!

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