Selma Arts Council Application

Please list name, organization, phone number

Participation Waiver

"I, the undersigned, acknowledge that this form, once it is submitted, is a public record and as such, the City of Selma will disclose the fact that it was filed and its contents upon receiving the appropriate request. By signing this form and submitting it to the City of Selma I hereby forever waive any claim of confidentiality and any claim of privacy which I may otherwise have in the content of this document and in the fact that it was filed with the City of Selma. I understand that this information is NOT CONFIDENTIAL in any way.” **Those convicted of a felony or registered as a sex offender will not be permitted to participate or volunteer for the Selma Arts Center** By Signing I verify that I have read and understand this condition to audition/volunteer.