Membership Application Thank you for your interest in a membership to the Madison Circus Space. If you haven’t yet, please review the information on the membership information page and the policies and guidelines page. Applicant InformationName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required)This will be your username on madisoncircusspace.com. If you already have an account at madisoncircusspace.com, please log in and return to application. Password(Required)This is the password you’ll use for logging into your new user account to manage your membership. Enter Password Confirm Password What type of membership are you applying for?(Required) Ground Aerial Wheel DisciplinesWhat are your primary circus or movement arts?(Required)Select all that apply Aerial German wheel Cyr wheel Juggling Hooping/Flow Acro Slackline Unicycle Dance Flying trapeze Other OtherWheel MembershipDescribe your experience level.(Required)Give some examples of skills you plan to practice with your membership.(Required)What are some skills you are working on now? What are some skills you would like to learn in the future?(Required)What is your plan to learn and practice those future skills safely?(Required)What is your plan to maintain a safe practice with the skills you are regularly doing now?(Required)Please add any other information you think is relevant.(Required)Aerial Membership QuestionsAre you at least 18 years old?(Required) Yes No Are you currently a member at the Madison Circus Space?(Required) Yes No How long have you been consistently practicing aerial arts?(Required)Please specify the number of months in which you have worked 2-3 times per week on each individual apparatus (i.e. 28 months on lyra, 30 months on silks, and 6 months on single-point trapeze). How often are you currently training on aerial apparatuses?(Required)How often do you practice outside of an instructor-led class?(Required)Do you have any aerial performance experience? If available, please include a link to a representative video from your performances.(Required)What type of equipment do you have sufficient training in to safely lead a self-practice?(Required)E.g. silks, trapeze, lyra, etcWhen did you purchase your equipment and what is your process for maintaining and inspecting your equipment?(Required)Please detail your knowledge and experience with rigging. Have you participated in any rigging workshops or classes?(Required)All aerial members must have experience with rigging, maintaining, and inspecting their equipment.Will you help build the MCS community's culture of safety and think of the entire aerial community before or while you make decisions regarding your own or someone else's safety? Yes No In brief, what are your goals for aerial arts and how can an MCS membership help you achieve those goals?(Required)
