Adaptive Community Theatre (A.C.T) Enrollment Form
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电子邮件地址 *
Actor's name *
Address *
Age *
Parent/Guardian *
Contact numbers, home and cell *
Emergency Contact/ Relationship *
Their contact numbers, home and cell *
T-shirt size *
I grant permission to Community Players, Inc, hereinafter known as the "Media" to use my image (photographs and/or video) for use in Media publications including Videos, Email Blasts, Recruiting Brochures, Newsletters, Magazines, General Publications, Website and/or Affiliates. I hearby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.
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The undersigned is presently participating or intends to participate, or if a minor, is the parent or guardian of one presently participating or intending to participate in the activities of Community Players, Inc. as an actor, director, producer, stagehand, assistant or other helper. The undersigned acknowledges that such activities involve risk of personal injury from many sources, including existing premises, stage sets, and the acts of omissions of fellow participants. Such injuries could be severe enough to result in disability or death. The undersigned recognizes and accepts these risks. The undersigned agrees to use their best judgment at all times in the course of participating in any capacity in the activities of Community Players, Inc., in order to avoid harm to themselves and to other persons. The undersigned further understands and acknowledges that Community Players, Inc. may or may not have insurance or other means to pay the undersigned for injury or other losses, including death, which may result from exposure to the above risks. Community Players, Inc. asks that the undersigned obtain adequate health, accident and disability coverage and maintain it in force at all times during the undersigned’s participation in the activities of Community Players, Inc.  IN CONSIDERATION OF PARTICIPATION IN THE ACTIVITIES OF COMMUNITY PLAYERS, INC., THE UNDERSIGNED EXPRESSLY ACCEPTS ALL OF THE RISKS INCURRED IN PARTICIPATING IN THE ACTIVITIES OF COMMUNITY PLAYERS, INC. AND, TO THE EXTEND PERMITTED BY LAW, EXPRESSLY WAIVES AND RELEASES COMMUNITY PLAYERS, INC., ITS OFFICERS, DIRECTORS, MEMBERS, EMPLOYEES, REPRESENTATIVES AND AGENTS. TO THE EXTENT PERMITTED BY LAW, THE UNDERSIGNED AGREES TO INDEMNIFY COMMUNITY PLAYERS, INC. ITS OFFICERS, DIRECTORS, MEMBERS, EMPLOYEES, REPRESENTATIVES AND AGENTS AGAINST, AND TO HOLD THEM HARMLESS FROM, ANY SUCH CLAIMS AND CAUSES OF ACTION. IN THE EVENT OF INJURY, THE UNDERSIGNED SHALL LOOK TO THEIR OWN INSURANCE COVERAGE FOR COMPENSATION IN LIEU OF, AND TO THE EXCLUSION OF, COMPENSATION FROM COMMUNITY PLAYERS, INC., ITS OFFICERS, DIRECTORS, MEMBERS, EMPLOYEES, REPRESENTATIVES, OR AGENTS. An inherent risk of exposure to COVID-19 exists in any place where people gather. COVID-19 is an extremely contagious disease that can lead to severe illness and death. You assume all risks, hazards, and dangers arising from or relating in any way to the risk of contracting COVID-19 or any other communicable disease or illness, or a bacteria, virus or other pathogen capable of causing a communicable disease or illness, whether occurring before, during, or after the event, however caused or contracted, and voluntarily waive all claims and potential claims against Community Players, Inc., its officers, directors, members, employees, representatives and agents. The undersigned further acknowledges that Community Players, Inc. would not permit the undersigned to participate in the activities of Community Players, Inc., without this agreement.  The undersigned agrees to cease all activity for or on behalf of Community Players, Inc. in the event the undersigned elects to terminate this Release as to future activities. The undersigned states that they are eighteen years of age or older, and in no way incapacitated to sign this Release and agrees to adhere and comply with all statements and disclaimers as listed above.                                                                                                                                                                                              

Your typed name in the space provided below will count as your "virtual signature":
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Workshop fee is $75/actor. Due no later than Monday, June 5th.
Checks can be mailed to 225 Main Street Sulphur Springs, TX 75482


Need based scholarships are available in limited supply.  Should you need assistance covering the workshop fees, please complete our Scholarship Application here.
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