We want to figure out who needs to be included in discussions about what is happening at Detour. Please put informaion below about your legal guardians. If you are your own legal guardian, write "N/A" on each line below.
Detour may need to contact the person who drops you off and picks you up for rehearsals.
(especially if we are waiting with you after rehearsal). If you have a regular driver, please put their contact information below. If not, please write "n/a".
Driver First Name (Optional)
Driver Last Name (Optional)
Driver Phone Number (Optional)
We want to know as much as we can to make sure everyone can participate in Detour!
We want your experience to be comfortable, respectful, and fun. These questions help us make sure everyone has the access they need.
If there are other accommodations you need or anything you would like to discuss, please email Simon at simon@detourcompanytheatre.org
Is there anything we should be aware of about your behavior or the way you communicate?
Do you have any particular triggers or things that are upsetting to you?
When you are stressed, scared, or overwhelmed, what helps you calm down?
Is there anything else we should know about how you get dressed?
Is there anything else you want to make sure you discuss with Detour before the start of this season?
Carpooling
Many people carpool to get to Detour. Detour is not allowed to set rules or standards for carpooling. Detour's insurance does not cover accidents that may happen during carpooling. If you want to be put in contact with people who live near you in order to organize carpooling, click "Yes" in the section below
Liability Waiver and Release
WAIVER OF ALL CLAIMS, RELEASE FROM LIABILITY AND ASSUMPTION OF RISK
Effective August 1, 2023 - July 31st, 2024.
All coaches, designers, contractors, volunteers, actors, or their legal representative(s) are required to sign this Liability Waiver and Release Form before participating in Detour Company Theatre.
In consideration of being permitted to participate in the above events, I, in full recognition and appreciation of the dangers and hazards inherent in theatre to which I may be exposed during my participation, do hereby agree for myself, my heirs, and personal representative(s) do hereby release and hold harmless Detour Company Theatre against any and all claims, demands, and actions, or causes of action, on account of damage to person, all property or personal injury or death which may result from my participation, and which result from causes beyond the control of, and without the fault or negligence of Detour Company Theatre, its officers, agents, employees, or volunteers during the period of my participation as aforesaid.
I further acknowledge and agree that I may encounter various risks, both known and unknown, from events and activities of such participation and travel, specifically including but not limited to commercial transportation, lodging, acts of God, strikes, insurrection or war, and specifically accepts and agrees to hold Detour Company Theatre and its officers, agents, employees, volunteers, insurers, and representatives harmless from any liability for any injury, damage or harm resulting from any risk, event or activity.
I further acknowledge and understand to reimburse and hold harmless Detour Company Theatre for any financial liability or obligations for injury and damage to the person or property of others caused by my actions.
I further acknowledge and understand that Detour Company Theatre holds the authority to terminate my participation for any failure to comply with the rules, standards, and instruction of this company.
The information above is the legal waiver you must agree to. Here is an informal explanation in Plain Language of what this waiver says: Legal Waiver
I HAVE READ THIS WAIVER OF ALL CLAIMS, RELEASE FROM LIABILITY AND ASSUMPTION OF RISK. I FULLY ACKNOWLEDGE AND UNDERSTAND THE SAME AND AGREE TO ITS TERMS.
Waiver Agreement:
I certify that all the provided information on this form is true and accurate to the best of my knowledge.
Certification of accuracy:
I understand that Detour does not provide transportation for actors, volunteers, or contractors.
Transportation disclaimer:
I understand that Detour does not provide transportation for actors, volunteers, or contractors.
Attendant support disclaimer:
I understand that Detour staff and volunteers are not able to provide attendant support. If the above mentioned person requires attendant support during Detour programming, an attendant must accompany them to Detour programs. "Attendant support" is defined here as assistance with eating, assistance with using the bathroom, assistance with medication (dispensing medication, managing medication, or assistance with taking medication).
Medical Information
**All personal information is confidential and not shared with any outside agencies.
Detour Company Theatre seeks to provide a safe environment for our actors, contractors, and volunteers which means it is important for us to know any pertinent behavior or medical issues that may affect you or your interaction with other members of our Detour family. As careful as we try to be, accidents and illnesses can happen. If we are unable to reach the contact person you list below, it is important to have accurate, pertinent information available for emergency personnel.
This medical information will be used for the purposes of Detour Company Theatre only. It will be kept on file and used only in case of an emergency when we cannot contact any of those listed above. If you have concerns about sharing this information, please talk to Andrea, Simon, or Teri Davis (R.N., BSN, Detour Coach). Thank you for providing this important information.
Physician First Name *
Physician Last Name *
Physician Cell Phone *
Medical Conditions/Diagnoses:
Allergies:
Current medications:
Main Emergency First Name:*
Main Emergency Last Name:*
Emergency contact phone number:*
Second Emergency First Name: (optional)
Second Emergency Last Name: (optional)
Second Emergency contact phone number: (optional)
