Volunteer Registration - Sensory-friendly Performance Volunteer Registration: Sensory-friendly PerformanceThank you for volunteering for PBT's sensory-friendly Beauty and the Beast ballet performance! The performance takes place on Sunday, Feb. 23, 2020 at 4:30 p.m. Volunteers will receive detailed information closer to the performance date, but should expect to arrive 2 - 3 hours prior to the performance. Each volunteer should complete a separate registration form. Volunteer slots are limited!Name First Last Email Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Cell PhonePlease let us know your T-shirt size (all volunteers will receive a long-sleeved PBT T-shirt to wear during the performance.Have you volunteered at a PBT sensory-friendly performance in the past? Yes No If yes, do you have a preferred volunteer station? Lobby Greeter Theater Usher Garage Greeter Quiet or Activity Room Craft "Grabber" No preference Have you worked or volunteered at another (non-PBT) sensory-friendly performance? Yes No If yes, which performance?Aside from sensory-friendly performances, please describe any experience you may have with special needs communities. Experience in the field is preferred but not required. If no experience, please enter N/A.Please let us know of any special skills or experience you may have, e.g. fluency in other languages (including American Sign Language), EMT or other medical training, etc.Clearances and WaiversPer PBT policy, please upload the documents listed below to confirm Act 33 and 34 clearance status.State of PA Criminal Record CheckAccepted file types: pdf, jpg, png, gif.State of PA Child Abuse History CertificationAccepted file types: pdf, jpg, png, gif.FBI Fingerprint-based Record CheckAccepted file types: pdf, jpg, png, gif.Image Release and Waiver - Please review and check yes or no below:*I do hereby give, grant and assign to Pittsburgh Ballet Theatre, Inc., and its assigns, licensees and legal representatives (“PBT”) the right, consent and permission to use, publish, copy, reproduce, create digitized images of, adapt, distribute, transmit, broadcast, display, modify and otherwise make use of my appearance, likeness and form in all forms of media and in all manner now known or hereafter to become known, including electronic media and/or composite representations, for advertising, trade, or any other lawful purpose. PBT shall have the right to exercise such rights with my appearance, likeness and form alone, or with other materials, including, but not limited to, text, data, images, photographs, illustrations, animation, graphics, and video or audio segments of any nature. The rights granted to PBT hereunder are world-wide, irrevocable, perpetual, and assignable. I hereby waive all rights and release PBT and its directors, officers, employees, agents, and independent contractors from, and shall neither sue nor bring any proceeding against any such parties for, any liability, loss, demands, claims, damages or causes of action, whether now known or unknown, for defamation, invasion of right to privacy, publicity or personality or any similar matter, or based upon or relating to the use and exploitation of my appearance, likeness and form. Image release - Yes Image release - No Liability Waiver - Please review and check yes or no below:*I recognize the risks of accident or injuries associated with any program of dance and acknowledge that I am participating upon the express understanding that I am willing and able to accept full responsibility for my own safety and welfare. I hereby release PBT and agree to hold PBT harmless from and against any and all claims and liabilities whatsoever which I may have, arising out of the participation with PBT, except for those relating from gross negligence or willful misconduct of PBT. I agree that the PBT and its Board of Trustees, faculty, staff and volunteers shall not be liable in any way for any injuries sustained or loss of property while attending PBT functions. Liability waiver - yes Liability waiver - no Please let us know any additional information or thoughts you'd like to share.