House Theatre Application

House Volunteer Application

Complete the form below to apply for participation.
Name Participant*

First NameLast Name
Name Parent 1 if Applicable

First NameLast Name
Name Parent 2 if Applicable

First NameLast Name
Date of Birth*

MonthDayYear
Date
E-mail*
example@example.com
Phone Number:*

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which area(s) would you like to offer your gifts?
We love to incorporate family! Please let us know if your family would like to volunteer and how.
Please list applicable experience.
Please list any scheduling conflicts which you foresee.
Membership Rules
Membership is available to persons who have read, understood, and agree to demonstrate respect towards House Theatre's Code of Conduct and Statement of Faith.
Please Check The Following

I have read, understood, and agree to demonstrate respect towards House Theatre's Code of Conduct and Statement of Faith.
Medical Waiver

Applicants must complete a medical waiver to participate in House.
Emergency Contact Name 1*

First NameLast Name
Relation to Participant*
Phone Number*

Area CodePhone Number
Emergency Contact Name 2*

First NameLast Name
Relation to Participant*
Phone Number*

Area CodePhone Number
Insurance Card Information
Please indicate any medical history deemed necessary. Note that the attached waiver is provided for transparency and clarification.
Are there any allergies we should be made aware of? Please indicate the level of sensitivity if deemed necessary.
Date of Form Compleation

MonthDayYear
Date
Once you submit your application, we will contact you shortly to complete your membership application. Thank you!
Should be Empty:

House Volunteer Application

Membership Rules

Medical Waiver