The Roche Players
Membership Form

Name           
Home address1
Home address2
City            State   
Home Phone   
E-mail address

  Employee #           Dept   
   BLDG./ROOM #:     EXTENSION

ARE YOU A ROCHE EMPLOYEE ?                                             Yes     No
ARE YOU RELATED TO A ROCHE EMPLOYEE?                 Yes    No
EMPLOYEE NAME                 RELATION

LOCAL NEWSPAPER:
INDICATE YOUR AREAS OF INTEREST AND/OR EXPERTISE

    ON-STAGE                         OFF-STAGE (PUBLICITY, MAKE-UP, PROPS, SETS)

CAN YOU OR WOULD YOU LIKE TO:

SING WORK WITH SOUND/LIGHTS
DANCE BUILD SET (CARPENTRY/GADGETRY)
ACT PAINT (PICTURES, WALLS, FURNITURE, FLOORS)
SEW COSTUMES COLLECT OR MAKE PROPS
WORK BACKSTAGE DO MAKE-UP OR STYLE HAIR
USHER AT PERFORMANCES HELP WITH PUBLICITY
DRAW POSTERS HELP WITH TICKET SALES
TAKE PICTURES MAKE VIDEOTAPES
PLAY A MUSICAL INSTRUMENT
(PLEASE SPECIFY) 		OTHER

PLEASE REMEMBER THAT NO EXPERIENCE IS NECESSARY!
                   
  All forms are kept private and retrieved on a regular basis