Scare Team Application If you are human, leave this field blank. Contact Information (Page 1 of 3) Legal Name * Nick Name (name you go by) Date of Birth * If you are under the age of 18 a parent will have to sign a consent and liability form. You will have to provide proof of age (drivers license or state ID card, etc). YOU MUST BE AT LEAST 16 TO EVEN VOLUNTEER. Your address * Home Phone * Cell Phone (or other) Email * Other Information Do you have reliable transportation? * Yes No Any Medical Issues? Ex: Seizures, Diabetes, Asthma, Heart Conditions, Physical Disability, Pregnancy, Infectious Diseases, Vampirism, Lycanthropy, Alien Brain Tumors, Mental Illness, Other.. This is only to ensure our staff is aware of anything in the event of an emergency, and is NOT a basis for determining to utilize you on our team or not... That is solely determined by the audition process. Do you have any special needs or requirements for working conditions? (Handicaps, allergies, can't work with strobe-lights, psychotic blood sugar fits, have to take medication at a certain time, etc.) Can you perform the essential functions of the position you are applying for, with or without reasonable accommodation? * Yes No
