Membership Form

We respect the privacy of our Members and are committed to protecting it. Georgetown Globe Productions (Globe) has a Privacy Policy that explains our practices regarding the collection of Members’ information. Globe does not share, sell, rent or trade private Member Information. For more details and to inquire about your information please contact the Privacy Officers at info@globeproductions.ca.

Please note: Membership period runs from July to June and must be renewed each year.

Membership Fee

Member Name(Required)

First Last

Member's Email(Required)

Member's Phone #(Required)

Second Member Name(Required)

First Last

Second Member's Email

Second Member's Phone #

Third Member Name(Required)

First Last

Third Member's Email

Third Member's Phone #

Fourth Member Name(Required)

First Last

Fourth Member's Email

Fourth Member's Phone #

Address

Primary Member's Address(Required)

Street Address Address Line 2 City Province Postal Code

Waivers and Releases

I would like to be added to the Globe email newsletter list.(Required)

Yes

Adult members (cast) are committed to volunteering a min. of 5 hours on production support for their show. This may include help with set painting, props, publicity, costumes etc.

PHOTOGRAPHY RELEASE

I hereby authorize and voluntarily give Georgetown Globe Productions (Globe) the perpetual and irrevocable right and license and provide my consent to use, to disclose, to distribute, and to reproduce any, all or in any part of image(s) and/or audio/visual record(s) of myself and/or members of my family, in any format, whether printed, digital or otherwise, for Globe educational, marketing and/or promotional purposes as authorized herein. This consent and authorization includes, without limitation, the right to publish such images on Globe websites, in Globe publications and promotional materials, such as marketing publications, advertisements, fundraising materials, and any other Globe related publication. These images may appear in any of the wide variety of formats and media now available to Globe and that may be available in the future, including but not limited to print, broadcast, videotape and electronic/online media, including social media.

By signing this document, I hereby release and forever discharge Georgetown Globe Productions (Globe) from all liability, whether direct or indirect, and hereby waive all claims, demands, actions and causes of action which I have or may have against Globe with respect to, or arising from the use by Globe of image(s) and/or audio/visual record(s) of myself and/or members of my family as identified above. I agree to and accept the possibility of flaws, distortions, and inaccuracies in the reproduction of the image(s) and/or audio/visual record(s) of myself and/or the members of my family for whatever reason. I hereby waive any right of inspection or approval of such image(s) and/or audio/visual record(s) of their use whether printed, digital or otherwise. I further acknowledge that, and consent to the use by Globe of image(s) and/or audio/visual record(s) of myself and/or the members of my family identified above shall be without restriction as to the making of changes or alterations by Globe. I understand the creation or editing of the image(s) and/or audio/visual record(s) become the property of Globe.

I agree

PHOTOGRAPHY RELEASE

All Members agree to the Photography Release

List members that do not agree with Photography Release

Upon submitting you will be redirected to secure PayPal website where you can pay using PayPal, Credit or Debit.

Total

Payment Method