2021 Co-Lab Intake Form

Welcome to the 2021 FP/CSC Co-Lab! This form is to help us gather some important information about you before our program begins. Information on this form will be shared with key staff and teachers only as necessary. Name, email, phone and pronouns will be shared on our general company contact sheet. If there is anything that you'd like to share more confidentially, feel free to reach out to us at colab@commshakes.org. *

Check to acknowledge

Full name exactly as you would like it to appear on printed/virtual materials (potentially public) as needed *

(Ex: website, contact sheet)

Email *

This email will be the primary form of communication during the summer and essential to your Zoom access for our virtual sessions. It is very important it is one that you can check every day.

Email you use for Zoom (if different from above)

Cell Phone Number *

Address you will be residing at for duration of program: *

Address Line 1

Address Line 2

City

State

Zip Code

We ask for this in case we need to send you any physical items in the mail AND for time-zone considerations for virtual sessions. If you think this may be different at different times, put your primary one here and reach out to let us know if you'll have a time zone shift at any point during the program.

Date of Birth *

Name you would like to be called *

Pronouns

For example: They/Them/Theirs; She/her/hers, ve/ver/vis; etc.

Please upload a JPEG photo of yourself (may be shared publicly) *

Click or drag a file to this area to upload.

This does NOT need to be a formal head shot. A selfie or other great photo of yourself is wonderful!

Please include a short actor bio that you'd like us to use below (max 50 words- may be shared publicly) *

Schedule Conflicts

The 2021 Co-Lab will be held within the following days/hours with frequent breaks throughout the day: Week 1: Monday, August 16: 11:00AM- 9:00PM EST Wednesday, August 18: 11:00AM-9:00PM EST Friday, August 20: 11:00AM-9:00PM EST Saturday, August 21: 12:00PM-9:00PM EST Week 2: Monday, August 23: 11:00AM- 10:00PM EST Wednesday, August 25: 11:00AM-10:00PM EST Thursday, August 26: 11:00AM-4:30PM EST. While we would prefer you to be present at all sessions, we know a few of you have let us know about some scheduling considerations with certain classes. If so, please list them here!

We will be taking a few photos and/or short videos to document our process and help us build this program for future participants. Are you comfortable with photos or videos of you participating in this program being shared publicly? *

Yes
No

Commonwealth Shakespeare Company and The Front Porch Arts Collective do not discriminate on the basis of disability in admission or access to, or treatment of its services, programs, or activities. Please make us aware here of any reasonable accommodation that may be needed in order to participate in this activity or reach out directly to our Program Coordinator if you prefer.

Is there anything else you would like us to know?

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