MTC Template 2 – Maryborough Theatre Company

Membership Type

Name *Member 1 (Parent/Carer if applicable)

Surname *Member 1 (Parent/Carer if applicable)

NameMember 2/ Childs Name

SurnameMember 2/child Surname

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Mobile *

Email Address *

Confirm Email Address *

DOBMember 1 (Parent/Carer if applicable)

DOBMember 2/child

Terms and ConditionsI/We will abide by the Maryborough Theatre Company Interim Code of Conduct, and the Code of Conduct once it is ratified by the MTC Committee. In particular I will behave and communicate respectfully and courteously to all members of the MTC irrespective of their age, gender, race, religion or sexual orientation. I will not behave in any manner that could be interpreted as bullying, sexually harassing, intimidating, racist, discriminating or in any other way belittling or intentionally distressing.

Date

NameParent/Guardian

Date

Any other comments