Volunteer Application

Greensboro, North Carolina Phone: 336-772-3517 Fax/Audition Line: 877-385-7016

Volunteer Application

FREE TIME ON YOUR HANDS? LIKE ENTERTAINMENT? JOIN US!

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If you want to communicate with us, please follow the proper procedure. Thanks again.

VOLUNTEER ID NUMBER: __________ LAST NAME FIRST NAME MIDDLE NAME

COMPLETE ADDRESS:

PHONE: ALTERNATE PHONE: EMAIL.

FELONY IN PAST 7 YEARS YesNo MENTAL/PHYSICAL CHALLENGESNoYes

REGISTRATION DATE// EXPIRATION DATE// (1 YEAR)

HEIGHTfeet inches WEIGHTlbs EYES HAIR

BIRTHDAY // AGE AVAILABLE: MON---TIME : A/P - thru - :A/P

TUE---TIME :A/P - thru - :A/P WED---TIME :A/P - thru -:A/P

THU---TIME :A/P - thru -: A/P FRI---TIME :A/P - thru -: A/P

SAT---TIME :A/P - thru - : A/P SUN---TIME : A/P - thru - : A/P

Initial Hereto confirm that you understand it is your responsibility to call in for opportunities to serve as a volunteer.

VOLUNTEER TALENT RELEASE I (full name of authorizer) represent that I am eighteen years or older and possess full contractual rights to enter into this release and authorize The Actors Home Squad, Inc. to reproduce physical and aural likeness of myself and all members in my party for producing a video, still photographs or audio recordings in association with organization events. This release will not expire.

I certify that I have read and fully understand the meaning and effect of this release and intending to be legally bound to this agreement, hereunto set my hand this day of , . Signature:

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VOLUNTEER DATE// TIME : __a.m./__p.m. - thru - : __a.m./__p.m.