Name *

First

Last

Email *

Phone *

Are you a PARENT or GUARDIAN of a current cast or crew member? If yes, please list the show name.

Address *

Address Line 1

Address Line 2

City

MinnesotaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Age (If under 18)

Volunteer Interest *

• • Ushering
• • Office Help
• • Costuming (as need basis, based on skill set)
• • Shop/Painting (as need basis, based on skill set)
• • Other

If other, please tell us.

If other, please tell us when.

Employer

For grant purposes

Are you planning to use this volunteer opportunity for school or community service hours?

• Yes
• No

Are you a URVC Volunteer (Recruited from the U of M) *

• Yes
• No

Do you have any medical conditions or allergies we should know about?

Is there anything in your past or present life that might make it inappropriate for you to be working in close contact with children? *

• Yes
• No

If so, please describe.

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Signature *

By entering your name in this field you verify that: all information that I have provided is correct, and any false statements may disqualify me from volunteering at Stages Theatre Company

Website

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