Drama Society Membership Application Form

SAINT MARY'S UNIVERSITY DRAMA SOCIETY

MEMBERSHIP APPLICATION
2019/2020

*NO MEMBERSHIP FEE REQUIRED*

Personal Information

Name*

Birth Date (day/ month/ year)*

Preferred Pronouns*

Phone Number*

If you do not have a phone number please enter (555) 555-5555.

Home Town/City*

Province*

Email address*

Confirmation Email

I DO want to receive SMUDS news, discounts, and other society information via emailI do NOT want to receive SMUDS news, discounts, and other society information via email

Medical Information

Allergies:

Please List ALL Allergies AND Sensitivities Known

Other Relevant Medical Information:

Please detail any medical information you feel we should know. If you leave this blank you are agree that you have no other relevant medical information you would like to share.

I Have No Known Allergies or Sensitivities

I Have No Other Relevant Medical Information I Would Like to Share

Emergency Contact Information

Name*

Phone Number*

If no number is available enter (555) 555-5555

Email address*

Confirmation Emailexample@example.com

Home Town/City*

Province*

Availability

Occupation(s)*

Please enter all current occupations including if you are a Part-Time (PT), or Full-Time (FT) Student

Ambitions, Interests & Experience

Which Departments in SMUDS Would You Like to be a Part of? (select all that apply)

Please Select Any Areas You Have Experience in (select all that apply)

Interests/Hobbies:

Why Do You Want to Join SMUDS?:

Is There Anything Else You Would Like us to Know?:

The Legal Stuff

Protection of Personal Information The information gathered within this application will be used to ensure that you have the best experience possible within the society. Personal information such as; email, phone number, medical history, allergies/sensitivities, or place of employment, will NOT be shared with any individual or organization(s) beyond the Executive Board Members of the Saint Mary's Drama Society.*

I Have Read & Understand the 'Protection of Personal Information' by SMUDS

Duration of Membership Membership will continue as 'Active' in perpetuity, until the member has been inactive for two (2) consecutive semesters, at which point, the member will become 'Inactive', unless 'Honourary Membership' status is granted prior to this, or membership has been 'Suspended'.*

I Have Read & Accept the 'Duration of Membership' conditions

Submission of Accurate Information I understand by checking the box below and submitting this application I am applying to become a member of the Saint Mary's University Drama Society and hereby confirm the information I have provided within this form is true and accurate, to the best of my knowledge, and I understand that the Saint Mary's Drama Society is not at fault should any misinformation provided in this application result in physical, financial, and/or structural damage to the society, its members, private property, SMU, or the community. This will also result in my immediate and indefinite suspension from the society.*

I Have Read & Understand the 'Subission of Accurate Information' by SMUDS

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Membership as well as the rules and by-laws of the society, and understand that failure to adhere to any of these terms, rules or by-laws can result in consequences up to and including a ban from the society.

Electronic Signature*

First Name Last Name

Today's Date (date of submission)*

Date