Theater J New Usher Form

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Thanks for your interest in ushering with Theater J! Please fill out the survey below to help us get to know you! Reach out with any questions to Jasmine Jones, director of patron services, at jjones@theaterj.org

Name(s): *

Email(s): *

Phone Number(s): *

Emergency Contact Name and Phone Number *

Are you vaccinated against COVID-19?

Yes, fully vaccinated

Not yet, but I plan to be fully vaccinated by September

No, I am not

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Theater J, and the entire EDCJCC, does not tolerate discrimination or harassment based on race, color, religion, gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of its activities or operations from either patrons or staff. *

I recognize ushers are essential to and responsible for creating a welcoming space for all patrons.

Required

Please share anything else you'd like us to know.

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