Clownlife Performance Retreat & Festival July 1st-12th, 2020
Uk Artistic Nature Retreat
Name
*
First Name
Last Name
Your Favourite Email
*
example@example.com
Place of Residence
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
-
Area Code
Phone Number
Are you applying for Part One alone or the full programme?
Part One( July 1st- 6th)
Both: Part One & Part Two ( July 1st- 12th)
Personal Info
This is optional- In efforts to make this work accessible to a range of ages, ethnicity and sexual orientation, I would like to prioritise bursary and low income placements for individuals from marginalised communities.
Preferred Pronouns (Example: She/her, They/Them, He/Him)
Age
Ethnicity
ABOUT YOU...
Have you been to a Clownlife workshop/residency before? Have you trained with Zuma Puma, if so, when and where?
How did you hear about this programme?
Statement of Interest- What calls you to this camp and why would you like to attend?
A short bio of Artistic Practice (ie. you're specialty or area of interest; clown, ceremony, ritual, dance, cabaret, painting, sculpting, puppetry, mask etc.)
Do you have experience in clown and or performance? If so, with whom?
Additional info
Dietary Requirements? (Example: Allergies, Gluten intolerent, Vegan etc?)
Do you drive and have a vehicle? If so, are you willing to pickup artists on route? And if so how many? And where will you be driving from?
Are you in need of a ride? If so, from where? We are happy to connect folks for ride shares to help reduce costs and make the trip more fun.
When can you arrive? Please note: we will officially begin Friday 5pm- the hope is that you can arrive and set up your camp comfortably before then and have some time to properly land before we begin the facilitated journey.
Thursday Evening
Friday Morning
Friday Afternoon
Other
What are you able to afford for the retreat? (incl. venue, camping, food and facilitation for 5 days)
£350- Low income/Student (covers cost of retreat and small contribution towards facilitation)
£425- General Admission- covers full fees & course facilitation
£500- Supporter- Helps cover facilitation costs for a low income participant
£600- High income Sharing the love; offers a bursary place for someone who could not come otherwise.
Anything Else? This bit is to share; questions, concerns, extra info about yourself and your creative practice, transportation information etc.
Please verify that you are human
*
Submit
Should be Empty: