Night Terrors Volunteer Application "*" indicates required fields Name* First Last Phone*Email* Address* Street Address Address Line 2 City State & Zip Code What Should We Know About You?*Are you able to wear a mask?* Yes No Are you allergic to grease paint?* Yes No Are you allergic to latex?* Yes No Are you claustrophobic?* Yes No Are you able to wear contact lenses?* Yes No Are you able to wear prosthetic teeth?* Yes No Do you have reliable transportation?* Yes No Are you asthmatic?* Yes No Are you epileptic?* Yes No Health Issues* I will inform you in person about any health issues that you might need to be aware of. Felonies / Misdemeanors* I agree to inform you in person if I have ever been convicted of or charged with a felony or misdemeanor. Agreement* I CERTIFY that the above answers are true and complete to the best of my knowledge. CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
