House Class Volunteer Application

House Class Volunteer Application

We are honored that you have considered Volunteering with House!
DISCLOSURE: Comp'd class/es will offered at various tiers based on levels of committment. See volunteer timeframe needs below.

This will be determined once a successful Background Check is submitted, processed, and received by our Executive Team.
Name Participant*

First NameLast Name
E-mail*
example@example.com
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MONDAYS - Confirm Availability (if multiple, please indicate)*

9:30am - 12:30pm (3 Hour Block)1:30pm - 4:30pm (3 Hour Block)1:30pm - 2:30pm (1 Hour Block)2:30pm - 3:30pm (1 Hour Block)3:30pm - 4:30pm (1 Hour Block)4:30pm - 5:30pm (1 Hour Block)9:30am- 4:30pm (7 Hour Block)Not Applicable
TUESDAYS - Confirm Times Available*

5:00pm- 8:00pm (3 Hour Block)Not Applicable
Please Acknowledge The Following*
Please List Known Absences for Scheduling Purposes
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 Completion*

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

House Class Volunteer Application

Membership Rules

Medical Waiver