1. Your name and Clown Name, address and contact number.
2. How long have you been a clown?
3. What kind of clowning do you do? (hospital clown, caring clown, party clown etc.)
4. What is your favorite thing about being a clown?
5. How are you hoping to expand your clown know how?
6. Are there any special skills you would like to learn?
7. Do you belong to an alley? if so, which one
8. Do you have a mentor?
9. Do you belong to any other clown organizations? If so, which one(s)
10. Are you a M.A.C.A. member? If so, Please enter your number.