2024 Cast Offer StarCo Show

Cast Offer StarCo Show
Actor Name*

Actor First NameActor Last Name
Email*
This will be the email used for all cast communications
Role(s)*
Please enter all of the roles you have been offered seperated by a comma.
I accept my offered role(s)*

Yes

Actor Contact Information
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Secondary Email (Optional)
example@example.com
Secondary Phone Number (Optional)
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the actor under the age of 18?*

YesNo
Parent/Guardian Information (If actor is under 18)
Parent/Guardian Name (If actor is under 18)*

P/G First NameP/G Last Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com

Participant Health & Safety Protocol Agreement
Participant Name*

Actor First NameActor Last Name
Facility: Poinsettia Center For the Arts (DBA Star Theatre) (PCTFA)

402 N. Coast Highway

Oceanside, CA 92054
This agreement is between the Participant listed above (Participant Name) and the Poinsettia Center For the Arts (PCFTA).

1) Participant is NOT to come to facility if sick. If any of the below symptoms are present either before coming to facility or at the facility, Participant will notify appropriate production team contact (see item 6 below) immediately:

a. Fever or chills
b. Cough
c. Shortness of breath or difficulty breathing
d. Fatigue
e. Muscle or body aches
f. Headache
g. New loss of taste or smell
h. Sore throat
i. Congestion or runny nose
j. Nausea or vomiting
k. Diarrhea

2) If participant has any symptoms above while at at the facility, they are to immediately report to a member of the production team and if appropriate leave the facility.

3) Participant may only return to facility once they are symptom free and/or make arrangements with the appropriate production team contacts (see item 6 below).

5) You agree to assume all risk associated with a group activity during this time. You and your family's compliance with all guidelines is required to reduce risk to you as well as all others participating.

6) Any questions, Production Team Contacts:

Paul Friedman (760) 533-3104 David Schulz (818) 355-8074

Medical Release Form
Actor's Name*

Actor First NameActor Last Name
Birthdate*

MonthDayYear
Date
Primary Emergency Contact Name*

PEC First NamePEC Last Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Secondary Emergency Contact Name (Optional)

SEC First NameSEC Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are there any special and medical condition that should be known? Please specify.
Acknowledgments:

In the event that I or the person listed above are not available, I give my permission to the designated adult supervisor in charge to provide first aid and/or secure emergency medical treatment for the minor named above and to take the appropriate steps to arrange for transportation to the nearest emergency medical facility.

You are hereby advised that our organization does not carry Worker's Compensation insurance for participants or volunteers. If you or your child should suffer an injury while participating in our production, you will be personally responsible for all medical or injury related expenses to you or your child.

You also agree to defend, indemnify and hold harmless, the Star Theatre and/or its assignees, its officers, board directors, agents, employees, volunteers, staff, independent contractors, subcontractors and or thier assignees in the event of any injury, death or any other element of damage of any kind occurring anytime your child or you is engage in an activity by, or on behalf of , or related to the Star Theatre.

Performer Liability Waiver
We greatly appreciate your commitment to providing entertainment to our community and Star Theatre patrons. Our insurance policy requires that we have an accurate record of all volunteers/Performers. This is a form where you agree to release Poinsettia Center for the Arts (“PCFA”)/Star Theatre of all liability while working at Star Theatre.

The performer desires to work as a performer for Star Theatre Company and engage in the activities related to being a Performer (the “Activities”).

The Performer hereby freely, voluntarily, and without duress executes this Release under the following terms:

Release and Waiver: Performer does hereby release and forever discharge and hold harmless Star Theatre Company and it successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer’s Activities with the Star Theatre. Performer understands that this Release discharges the Star Theatre from any liability or claim that the Performer may have against Star Theatre with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Performer’s Activities with the Star Theatre, whether causes by the negligence of the Star Theatre or its officers, directors, employees, or agents or otherwise. Performer also understands that the Star Theatre does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness which arises or may hereafter arise on account of any first aid, treatment or service rendered in connection with the Performer's activities with Star Theatre.

Assumption of the Risk: The Performer understands that the Activities includes general hazards that may exist in or around the theater, such as being around construction of sets. Performer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases the Star Theatre from all liability for injury, illness, death, or property damage resulting from the Activities.

Insurance: The Performer understands that, except as otherwise agreed to by the Star Theatre in writing, the Star Theatre does not carry or maintain health, medical, or disability insurance for any Performer. Therefore, each Performer is expected and encouraged to obtain his or her own medical or health insurance coverage.

Photograph/Video Release: Your signature also authorizes Star Theatre to use your name (and if applicable your child actor's name) and any photographic and/or video images of you (and if applicable your child actor) for marketing and publicity purposes without any further authorization from you and without financial or other compensation.

Other: Performer expressly agrees that this Release in intended to be as broad and inclusive as permitted by the laws of the State of California and that this Release shall be governed by and interpreted in accordance with the laws of the State of California. Performer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

Signature

By signing below you acknowledge that you have read and agree to the information presented in the following documents: Participant Health & Safety Protocol Agreement, Medical Release Form and Performer Liability Waiver
Signer Name (Parent/Guardian must sign if actor is under 18)*

Signer First NameSigner Last Name
Relationship to Actor*
Signature*

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Parent/Guardian Signature if actor is under 18
Date*

MonthDayYear
Date
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Cast Offer StarCo Show

Actor Contact Information

Parent/Guardian Information (If actor is under 18)

Participant Health & Safety Protocol Agreement

Medical Release Form

Performer Liability Waiver

Signature