Circus of the Senses® Registration Form

Wireless audio headsets, which use a state-of-the-art infrared transmission system, are distributed to allow visually impaired audience members to hear Circus Founder and Co-founder Paul Binder and Michael Christensen deliver a live play-by-play description of the action in the ring. In addition, American Sign Language interpreters are strategically positioned in spotlights to sign throughout the performances. Individuals with vision impairments have their choice of a large-print program or a  Braille descriptive program, distributed in advance, each of which describes the various acts in detail. Finally, there is a “touch session” after the show where pre-selected groups of visually impaired children are welcomed into the ring to meet the artists and to literally feel a clown nose, a juggler’s clubs, or the silky coat of a performing dog.

Circus of the Senses is currently offered free-of-charge in Dulles, New York and Boston.

"The descriptive headsets are a godsend. With those headsets and the wonderful job the two narrators do, Kirk does not miss a single bit of the show. He and his three brothers discuss all the details of the Circus of the Senses for weeks afterward. This is one event where he does not feel left out and that is so very important!" - Eileen Brouwer

For more information about accessibility at every Big Apple Circus performance, please click here.

Please fill out the form below and submit it. If you prefer, you may also print this form and send it to:

Big Apple Circus
Circus of the Senses®
One Metrotech Center, 3rd Fl
Brooklyn, NY 11201-3949

Select Performance Location and Date

Ticket requests will be accepted beginning four (4) months prior to the performance date.  Applicants will be notified of ticket availability after the ticket request deadline.

 

1. Dulles, VA - September 28, 2011 at 11 a.m. (Tickets are no longer available)
2. Lincoln Center, NYC - November 9, 2011 at 11 a.m. (Tickets are no longer available)
3. Boston, MA - April 5, 2012 at  11 a.m. (Ticket request deadline: February 17, 2012)

Organization Information

 

School/Organization Name (if applicable):  

Describe the population your school/organization serves: 
 

If you are not requesting as a school or organization, please explain how you heard about Circus of the Senses
 

Main Contact Person:  

Telephone:  

Address:  

City:  

State: (Select) Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas (except Canada) Armed Forces Europe, Canada, Africa, Middle East Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming  

ZIP:  

Email:  

Email is the preferred method for ticket notification.

How did you hear about Circus of the Senses? (Select) Newspaper Big Apple Circus Mailing School/Organization Big Apple Circus Website Other  

If you heard from a school or organization, please tell us which one:  

Attendee and Chaperone Information

Will you be bringing a group of mostly children or adults to the show?

1. Children
2. Adults

How many guests are you bringing? (Do not include chaperones)  

How many chaperones are you bringing?  

What is the total number of tickets you are requesting?  

How many headsets for the Live Audio Description do you need?  

*Headsets do not provide sound amplification for the hearing impaired. Please note, one chaperone is required for every 10 headsets borrowed, please list chaperone names below.

 

Please fill in the first and last names of the chaperones that will be attending. (There should be one chaperone for every 30 children or for every 10 headsets requested.)

1. Chaperone 1:  
2. Chaperone 2:  
3. Chaperone 3:  
4. Chaperone 4:  

Additional Needs

Will you need an ASL interpreter?

1. Yes
2. No

Do you have any hearing-impaired people in your group?

1. Yes
2. No

  Do you have any visually-impaired people in your group?

1. Yes
2. No

How many of the following will you be bringing to the show?

Wheelchairs:  

Medically-necessary strollers:  

Guide dogs:  

Please indicate all special needs of your group
(e.g. developmental delays, autism, etc.):  

Large-Print and Braille Program Request

1. Please e-mail me a Large-Print program in advance 
2. Please send me  Braille program(s) in advance