EmailMe Form - Class: Intro to Clowning

Name *

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Pronouns (ie: she, them, he, etc.)

We, at Phamaly, strive to uplift the disability identity without shame. If you would like, please share your disability with us (optional)

Email *

*Email is Phamaly's primary method of communication. Please call AJ, 203-685-2553, if another form of communication is necessary.

Primary Phone *

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Address

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Birthday (MM/DD/YYYY) *

Parent/Guardian (if applicable)

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Relationship

Parent/Guardian Phone

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Type

Cell

Home

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Parent/Guardian Email

If this is your first time participating with Phamaly, how did you hear about us?

Accommodations

Necessary Accommodations for you:

Do you use a mobility device? (This is for the teaching artist to prepare for necessary accommodations.) *

information is for teachers to prep for class

If there is anything else you would like the teaching artist, or any other accommodation we can make for you, please list here:

By clicking this box you are agreeing to attend this class and acknowleging that an absent seat could have gone to another interested Phamaly actor. *

I agree

Phamaly Guidelines for classes at DCPA - Education

• Attend all class sessions. Failure to attend all classes you register for will result in suspension from participating in future Phamaly classes.

• Complete all assignments to the best of your ability.

• No cell phones allowed during class time unless it is a necessary accommodation

• No pictures within class time.

• Participate in all acting exercises and scene work.

• No food allowed during class. There will be a 10 minute break for any snack needs.

• Address any issues that arise privately with the instructor, and leave any outside concerns at the door. Be focused and attentive towards the class!

I agree to all the guidelines above:

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