Quince Players

Membership Application Form
I wish to apply for membership of the Quince Players and if elected agree to observe the rules of the society and to give such assistance as I can in any production.
First Name  
Last Name  
Address  
Town  
County  
Postcode  
Telephone (Home)  
Email  

I give these two members of the Quince Players as reference:

 1:
 2:
Please complete the following questions so that we can build a skills directory as well as understanding in which areas of the Society you would be willing to participate.
   Directing    Props    Acting    Singing
   Dancing    Wardrobe    Make-Up    Hair
   Stage Management    Set Construction    Lighting    
   Other, please specify...  
Your Age:
   Under 16    16 to 25    26 to 40    40 plus

I HEREBY CONSENT TO MY NAME AND ADDRESS BEING HELD IN PAPER AND COMPUTER RECORDS FOR THE PURPOSES OF THE COMMITTEE ACTING IN ACCORDANCE WITH THE RULES OF THE SOCIETY
Signed  
Application Date  
 
Committee Use Only
Date accepted into Membership   
Fee   
Date entered onto Database