Shiftboard: Embassy Theatre Registration

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Registration: Embassy Theatre Shiftboard

If you have not yet registered for access to our online scheduling system, please complete the following form. (Please note that even if you share an email address with someone else, each person must complete a separate registration application.)

* required field

* First Name

* Last Name

* Address

* City

* State/Province

* Zip/Postal Code

* Country

* Primary/Home Phone

Mobile Phone

* Email

Birthdate

Why would you like to volunteer at the Embassy Theatre?

Are you a Embassy Theatre Foundation Member?

Yes No

Are you currently employed? check all that apply

	Full time
	Part time

	Retired
	Not employed at this time

Where is your current place of employment & what is your occupation/title?

* Primary Emergency Contact Name

* Primary Emergency Contact Phone

* Primary Emergency Contact Relationship

Primary Emergency Contact Email

Secondary Emergency Contact Name

Secondary Emergency Contact Phone

Secondary Emergency Contact Relationship

Secondary Emergency Contact Email

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Thank you for volunteering at the Embassy Theatre!

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