There are some really easy things to learn or "do" in clown which don't take a lot in order to get you started.
But, that said, what matters most is your character and presence. As the great clown instructor, Mark Renfro, often says, "What your audience wants is YOU!" So if you have that, in some sense, you already have everything you need to be a great clown.
I'd try to hook up with some clowning oriented clubs nearby to get guidance and a foot in the door. Since your interested in working with the elderly, you might also want to get in touch with some nursing homes or churches and see if the opportunity to visit the older folks is available.
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~ Laugh at yourself... everybody else does!
~ God loves women who date clowns.
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