Membership Form

First Name (required)

Last Name (required)

Address (required)

City (required)

Province
OntarioAlbertaBritish ColumbiaQuebecManitobaNew BrunswickNewfoundland & LabradorNova ScotiaPrince Edward IslandSaskatchewan

Postal Code (required)

Your Email (required)

Your Phone Number

Allergies (write "n/a" if none)

I am under 19 years oldI qualify as a Youth Volunter* (15-24 years old)

Fees/Membership Type (required)
General Membership (single) $40Premium Membership (single) $60Family Membership $70Premium Family Membership $100Volunteer Membership (for volunteers only)
Family memberships include up to 2 adults and 3 children/youth (18 and under) living in the same household
Volunteer members may not be in a show cast but may help backstage or front of house

In the event of an emergency please supply the following:

Emergency Contact Name (required)

Emergency Contact Phone Number

Use of Personal Information
Member personal information will be shared with members and can ONLY be used by members for The Queensville Players
business.

Photograph/Video Consent and Release Authorization
I give permission to The Queensville Players, and/or parties designated by The Queensville Players to photograph/video me and use such photograph(s)/video(s) in all forms of media. I further grant the right to reproduce, use, exhibit, display, broadcast or distribute said media for any and all promotional purposes. I further consent to the use of my name in connection with the photograph(s)/video(s) if needed by The Queensville Players and/or parties designated by The Queensville Players.

I understand and agree that I will not receive any payment for my time or expenses or any royalty for the publication of the photograph(s)/video(s) or the use of my name and I hereby release The Queensville Players and/or any parties designated by The Queensville Players from any such claims. I certify that I have read and fully understand this consent and release, and that all questions pertaining to this consent have been answered to my satisfaction.

Volunteer Opportunites

The Queensville Players provides all of our volunteers with the opportunity to learn and develop skills in a variety of areas. Please check off all areas below that apply. We look forward to your active membership with The Queensville Players!

Please let us know if you have experience in any of the following:
ActorProducerDirectorStage ManagerAssistant Stage ManagerSet DesignerSet ConstructionSet PainterScenic PainterSet Decor, Furnishing, DressingLighting DesignerLighting OperatorLighting CrewCostume DesignerSewingSound DesignerSound OperatorProperties CoordinatorProperties AssistantProperties BuilderHairstylingMakeupPublicityPublic RelationsPhotographyPoster DesignRefreshments (snacks and non-alcoholic drinks)Front of HouseServing on the Executive CommitteeServing as an AppointeeServing on a Club CommitteeBox Office Assistant at the Theatre50/50 Raffle (must be 19)

Please let us know if you have interest in learning any of the following:
ActorProducerDirectorStage ManagerAssistant Stage ManagerSet DesignerSet ConstructionSet PainterScenic PainterSet Decor, Furnishing, DressingLighting DesignerLighting OperatorLighting CrewCostume DesignerSewingSound DesignerSound OperatorProperties CoordinatorProperties AssistantProperties BuilderHairstylingMakeupPublicityPublic RelationsPhotographyPoster DesignRefreshments (snacks and non-alcoholic drinks)Front of HouseServing on the Executive CommitteeServing as an AppointeeServing on a Club CommitteeBox Office Assistant at the Theatre50/50 Raffle (must be 19)