Red Kite Drama Time Classroom Information Step 1 of 5 20% Red Kite Drama Time Residency Classroom InformationHello! We are excited to bring a Red Kite Drama Time residency to your classroom. This form will help us get to know you and your students in advance of your residency. Thank you for taking the time to complete this form, to help us ensure that we offer the most valuable experience to our CPS partners and students. If you have any questions, please contact our Director of Education & Access Programs, Sam Mauceri at sam@chicagochildrenstheatre.org or 312-374-8829.School InformationSchool* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Main Office Phone*Parking Availability for Red Kite Teaching Artists*School LotStreet ParkingN/ALead Teacher* First Last What do your students call you?* (e.g. Mr. Arturo, Ms. Gelman)Lead Teacher Grade Level* Lead Teacher Email* Lead Teacher Cell* Classroom InformationTo have a successful Drama Time residency, we will need you to provide a few things in your classroom: - Enough floor space for students to sit in a circle for the majority of class - Space to hang a few visuals temporarily on the board - Small storage space for Red Kite classroom supplies (one tote bag) - Full participation from classroom teachers and assistants Floor Space I agree to provide enough floor space for students to sit in a circle for the majority of class.Board Space I agree to provide space for teaching artists to hang a few visuals temporarily on the board.Materials Storage I agree to provide a small storage space for Red Kite classroom supplies (one medium tote bag).Classroom Participation I agree to participate and encourage full participation from classroom assistants.Are you unable to provide any of the above listed needs in your classroom? Please explain.*Room Number* How many students are in your classroom?* How many students in your classroom have designated paraprofessionals or aides?* Full Names of Assistants in Classroom*Please identify a few learning objectives you have for your students in receiving this arts programming.*Media & Photo WaiverUse of Images*Chicago Children’s Theatre occasionally takes photographs and/or video of children/students enrolled in our programming and may use of your child or ward’s name, photograph or likeness, voice or creative work(s) in electronic/digital or print media, promotional materials, and archives. You acknowledge that no compensation in any form will become due to you, your child or ward, your heirs, or agents upon use of media. You agree to use of images by enrolling in our programming, including photographs and/or video of children/students shot by outside news organizations. If there is a concern please contact Sam Mauceri at sam@chicagochildrenstheatre.org. I consent to Chicago Children's Theatre's Use of Images. No, I'm opting out. Individual Student InformationPlease provide as much information as you can about each student's support needs and what we might expect in working with each student. The more information we have, the more adequately we can prepare and set each student up for success.Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class?Student First Name & Age Student Info: What accessibility tools and strategies does this student benefit from? Do they utilize a communication device? Are there any likes, dislikes, or triggers that may arise during class? Additional InformationIs there any additional information about your classroom you'd like to share with us?* Thank you for providing this information!Click submit and you're done! If you have any questions regarding Red Kite Drama Time or our other programming, please contact our Director of Education & Access Programs, Sam Mauceri at sam@chicagochildrenstheatre.org or 312-374-8829.
