Twin Lakes Playhouse
P.O. Box 482
Mountain Home, AR 72654
Application for Annual Membership

Name: Today's Date:
Address: City, ST, Zip:
Email: Age:
Home Phone: (     ) Work Phone: (     )
Newcomer to the area? If so, where from?

Membership dues are $5.00 per year for members over 16 years of age. You must be a Playhouse member to be involved in any way with a play and sign the Release and Authorization statement. We urge you to attend regular monthly membership meetings, which are held on the third Monday of each month at 7:00 p.m. at the Playhouse in Mountain Home. The Membership Chairman has a copy of the by-laws and standing rules of the Playhouse.

RELEASE AND AUTHORIZATION 

I,  __________________________________________, hereby authorize the Twin Lakes Playhouse to release any photographs and/or theatrical background information concerning me regarding any legitimate production in which I may be involved in for the Twin Lakes Playhouse for advertising and publicity purposes only, concerning the production in which I may be involved in, including but not limited to: playbills, newspapers, magazines or over the Internet. I further hold harmless Twin Lakes Playhouse from any liability or damages, which may result from such publication. 

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Signature                                                                        Printed Name


 Playhouse Activities: Please indicate your interest

Stage

 

Acting

 

Design/Build Sets

 

 

Directing

 

Artwork/Paint Sets

 

 

Costumes

 

Stage Manager

 

 

Props

 

Make-up/Hairstyling

 

 

Sound/Lights

 

 

 

 

 

 

 

In House

 

Concessions

 

Tickets/Ushering

 

 

Parking

 

Ticket Sales

 

 

 

 

 

Marketing

 

Newspaper

 

Playbills/Posters

 

 

Radio Spots

 

Photography

 

 

 

 

 

Support

 

Play Reading

 

 

****Please print form, complete, and mail form and check to address listed above****