Alumni Information Form

Please provide us with the information below so we can keep our records up-to-date.
* Required Fields

Last Name: *

First Name: *

Middle Initial:

Maiden:

Address: *

Address 2:

City: *

State/Province:*

ZIP/Postal Code:*

Country:

E-mail Address: *

Include my e-mail address in Alumni Directory

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What years were you in Sailor Circus?

What acts did you perform?

What are you doing now (occupation), and how do you feel your time with Sailor Circus has helped you get to where you are today?

When you look back on your time with Sailor Circus, what are some of your fondest memories and why?

What was the most valuable lesson you took away from your experience with Sailor Circus and why?

Please describe what Sailor Circus has meant to you in a few words or sentences.

I do hereby grant PAL Sailor Circus irrevocable and non-exclusive license to publish or cause to be published, in any manner or form, my photograph and/or testimonial. I understand that the purpose of such production by PAL Sailor Circus shall include, but not be limited to, promotion of the organization and its events, including placement on the organization’s Web site and other promotional items. *

If you are willing to share, PAL Sailor Circus would love to have a photo of you from your Sailor Circus performing days ... and one of you today that best represents what you are currently doing. Your pictures may be sent to Sailor Circus Director Patty Campbell at patty@sailorcircus.org

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