Night Terrors Volunteer Application"*" indicates required fieldsName* 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 NoAre you allergic to grease paint?* Yes NoAre you allergic to latex?* Yes NoAre you claustrophobic?* Yes NoAre you able to wear contact lenses?* Yes NoAre you able to wear prosthetic teeth?* Yes NoDo you have reliable transportation?* Yes NoAre you asthmatic?* Yes NoAre you epileptic?* Yes NoHealth 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.CAPTCHANameThis field is for validation purposes and should be left unchanged.
