Play with Grace, LLC

We Hope You'll Join Us

In Play with Grace’s Expressive Drama program, "Taking Flight," you will experience firsthand the excitement of the theater. Throughout this 12 week program you will create, as part of a team, an original theatrical production, culminating in a performance before a live audience. We will experiment with improvisation, mime, role-playing, and theater techniques. We will play simple movement games and explore personal space through mirroring and balance. We will work with real life experience, creative imagination and fantasy to create characters, settings and plots . . . with music and dance integrated throughout. Whether our production is a tragedy, comedy, romance or mystery, your own unique and valuable contributions will be appreciated by all.

Our staff are all trained arts and human service professionals so you are in good hands. We make it a priority to be available for your questions or concerns. And you will be paired with an appropriate mentor whose goal is to make sure that your participation is a satisfying, enjoyable and growth-provoking experience.

Because this is improvisation (not formal theater), your role(s) will be varied and unfold naturally in a way that is comfortable and designed according to your preferences and needs. We will make sure that you have the support you need in order to create an experience that is meaningful for you. Our winter session begins in January; and on the first day we will get to know one another and we will provide a program overview. At this time we will answer any questions and address any concerns.

PARTICIPANT QUESTIONNAIRE

Please fill out this questionnaire (or request a printed one)as completely as possible and return by email or snailmail before the first day of our program (September 27, 2011).   If your answers require additional space please feel free to attach extra sheets to this questionnaire. Also you may feel free to fill this form out by computer and email to us.

__________________________________________________________________________________________________ FULL NAME                        WHAT YOU LIKE TO BE CALLED

__________________________________________________________________________________________________ STREET ADDRESS          CITY                STATE    ZIP CODE

__________________________________________________________________________________________________ HOME PHOME PHONE                 CELL                           EMAIL

__________________________________________________________________________________________________ SUPPORT PERSON NAME (IF YOU HAVE ONE)

__________________________________________________________________________________________________SUPPORT SUPPORT PERSON        CELL PHONE              EMAIL

__________________________________________________________________________________________________ PRIMARY CAREGIVER/GUARDIAN/AGENCY

__________________________________________________________________________________________________ ABOVE'S PHONE                                                     EMAIL

1) What is your age group? (18 or under, 19-35, 35-55 or 55 or older)

2) Describe your current living situation

3) if you are presently employed, describe your job (briefly)

4) How did you find out about Play with Grace?

5) Have you ever been involved with theater?                         If so, please describe

6) Have you ever been involved with any arts programs?    If so, please describe

7) What types of environments are most comfortable for you? (Quiet, crowded, etc)

8) Do you most enjoy activities that require you to sit? stand? move around? combination?

9) What types of people do you most enjoy spending time with? (elders, children, persons with disability, persons without, support staff, male, female)

10) What are your special talents?

11) What are your hobbies or favorite activities?

12) What are the physical, mental or emotional challenges you face regularly?

13) What do you like most about yourself

14) Please list 5  things we should know about you

15) Please share some of your personal and/or vocational goals

16) Can you commit to all  sessions, the rehearsal and the performance night? Please notify us about those sessions you might not be able to make.

Tuesdays, 3:30 - 5:30PM: September 27, October 4, 11, 18, 25, November 1, 8, 15, 22, 29, December 6

Friday, December 9, 4:00 - 7:00PM (Rehearsal);

Saturday, December 10, 5:30 - 9:00PM (Dinner & Performance)

17) Can you attend this program independently or will you be accompanied by a caretaker or facilitator? Please describe his/her role if you have support.

18) Do you have physical, medical, behavioral issues we should know about?

19) Which of the following areas are of interest to you (please circle):

Theatrical * Technical * Props/Set Design * Music Selection * Choreography * Costume Design * Make-up *

Advertising * Fundraising * Sales * Administrative * Other________________________________________________

20) Are there any other individuals or organizations that you think would like to learn about Play with Grace?

 We want

to get

to know

you!