By participating in this production as a volunteer actor during a time of a declared national health emergency, I fully understand the risks of possible exposure to the novel Coronavirus known as COVID-19. In full knowledge of this possibility and the potential severity of symptoms and effects of this disease, including but not limited to the possibility of death or lifelong health consequences, loss of work or freedom of movement due to quarantine, I am electing to participate in the above selected production and assuming these risks. Having voluntarily assumed this risk, I hereby waive my rights to any and all claims I may have now or in the future against Muncie Civic Theatre, its Board, employees, and agents related to exposure to COVID-19.
I wish to be a volunteer at Muncie Civic Theatre, an Indiana not-for-profit corporation located at 216 E. Main Street, Muncie, IN 47305 and at any other locations at which Muncie Civic Theatre is using volunteers or performing. I certify that the information in this Agreement and Release of Liability, as entered by me, is truthful.
I acknowledge that while volunteering, I may be involved in activities which involve a certain amount of possibility that I may be injured and I assume that risk of injury and relieve Muncie Civic Theatre of any claim against it caused by injury which may occur to me while I am volunteering.
On behalf of myself, my heirs, assignees and personal representatives, I do release and forever discharge Muncie Civic Theatre, Inc., its employees, agents, members, sponsors, promoters, and affiliates from any and all liability, claim, loss, cost or expense, and waive and promise not to sue on any such claim against any such person or organization arising directly or indirectly from or attributable in any legal way to any negligence, action or omission to act of any such person or organization, including travel to and from such event, in which I may participate as a volunteer.
I currently have no known physical or mental condition that would impair my capability to volunteer at Muncie Civic Theatre.
If over 18, please sign the form below. If under 18, parent or guardian, please read on.
I, as parent or guardian of the above applicant, represent to Muncie Civic Theatre, Inc. that the facts in this document concerning my child or ward are true. I give my permission for my child or ward to perform volunteer work at Muncie Civic Theatre as set forth hereinabove for, and further, in consideration of the granting of such opportunity to volunteer and participate in the activities of Muncie Civic Theatre I agree individually and on behalf of my child or ward, to the terms of the above Agreement and Release of Liability.
The Muncie Civic Theatre mission is to enrich our whole community through theatre performance, education, and outreach.
216 E. MAIN STREET
MUNCIE, IN 47305
BOX OFFICE HOURS
TUES-FRI 12-6 PM
© Copyright 2021, Muncie Civic Theatre. All Rights Reserved.From the Studio of Farmhouse Creative
SHOWS + TICKETS
216 E. Main Street. Muncie, IN 47305