ARTSTARS VOLUNTEER REGISTRATION FORM

The Chatham Capitol Theatre Association (CCTA) protects your personal information and adheres to all legislative requirements. The CCTA does not rent, sell or make available its mailing or donor lists. Your contact information will be used to keep you informed and up to date on special events, fundraising activities, etc. The CCTA may acknowledge your donation publicly. If you wish to be removed from the CCTA’s mailing list and/or you do not wish to have your name and donation made public, please telephone the CCTA 519-358-7079 or email the CCTA at info@chathamcapitoltheatre.com.


CONTACT INFORMATION

First name:

Last name:

Street Address:

City/Province:

Postal Code:

Home Telephone:

Secondary School Attending:

Email Address:

PERSONAL INFORMATION

Volunteering For:
Present Occupation

Language Spoken:
English:
French:
If Other Please Specify:

Language Written:
English:
French:
If Other Please Specify:

I have an interest in:
If Other Please Specify:



Are you a member of the Capitol Theatre Association?
Yes No
If not would you like to receive information on becoming a member?
Yes No

By becoming a Capitol Theatre volunteer, from time to time, you may receive information on upcoming events and/or construction/fundraising progress.
Please check here if you do not wish to receive this information.

Thank You once again for your interest in volunteering with the Chatham Capitol Theatre.

Name:
Email: