Show Choir Registration Form

Iowa All-State Show Choir Registration 2023

Student First Name

Voice Part

High School

Student Last Name

Student E-mail

Graduation Year

Preferred Pronouns:

Student Cellphone:

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Pant Size: Waist and Length (ex. 34/32)

Other:

Participation Agreement:

As an accepted student into IASC23, I agree to attend and fully participate in all rehearsals and the final concert; be responsible for learning and performing all selected musical materials, and be an ambassador for my home choral program. I am aware that being selected is an honor, and I will respect myself and others throughout the learning process. If you agree, please sign (type) your full name below.

Signature

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Cellphone

Parent/Guardian 1 E-mail

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Cellphone

Parent/Guardian 2 E-mail

Emergency Medical Treatment

Please select the option below that applies to the program:

There will be no persons under the age of 18 participating in the Event.

There will be persons under the age of 18 participating in the Event. The Registrant is employing its own Consent to Emergency Medical Treatment Form which has been attached to this Agreement.

There will be persons under the age of 18 particip/;J.tingin the Event. The Registrant will be using the Consent to Emergency Medical Treatment form shown below.

Consent to Emergency Medical Treatment

In the event that my child/ward, ________ , (participant)

Particpant Child/Ward

requires medical attention, I hereby authorize and consent to emergency medical treatment for my child/ward while participating in a program, conference or camp at Central College. The program administrator or their designee has my permission, in an emergency if I cannot be contacted, to take my child/ward to the emergency room of the nearest hospital, and the hospital and its medical staff have my authorization to provide treatment which a physician deems necessary for the wellbeing of my child/ward.

I hereby authorize and consent to non-emergency minor first aid for my child/ward while enrolled as a participant in the program, conference or camp at Central College, as deemed necessary by the program administrator, counselors and/or Central College medical staff.

Parent/Guardian

Electronic Signature

Date:

Street Address

City

Region/State/Province

Postal / Zip code

Home Phone

Work Phone

Cell Phone

Payment Options:

1. Individual Total Payment:

Cost per Show Choir student is $375.00 total - includes lodging, meals, t-shirt, and musical scores

Cost per Show Band student is $200.00 total - includes lodging for Sunday night, meals, t-shirt, and musical scores

Payments may be made online* (more information ON REGISTRATION FORM)

*online payment is assessed an online processing fee of $6.50

OR Checks made payable to Iowa Choral Directors Association and sent to:

Norm Grimm

ICDA Treasurer

2402 N. 7th Ave. E.

Newton, Iowa 50208

2. Individual Installments:

June 9: First Deposit of $150.00 (Show Choir) and $100.00 (Show Band) is due for accepted students - **first deposit is non-refundable

June 23: Second payment of $125 (Show Choir) and $50 (Show Band) is due or remainder

July 7: Third payment of $100 (Show Choir) is due and $50 (Show Band) is due

**If student cancels their participation after July 1, refund will take place except - first deposit ($150) is non-refundable*

3. SCHOOL DISTRICT IS PAYING

Checks made payable to Iowa Choral Directors Association and sent to:

Norm Grimm

ICDA Treasurer

2402 N. 7th Ave. E.

Newton, Iowa 50208

Thanks for registering. Make sure to use the other form for payment.See you there!

If you have already registered for the All-State Show Choir and are making a payment or multiple payments use this portal to make payments:

Payment Portal