2020 Student Registration Form and Parent Authorization Please make sure to complete all fields before hitting submit. DO NOT REGISTER USING A WARRICK COUNTY SCHOOL CORPORATION EMAIL ADDRESS OR EVSC EMAIL ADDRESS. USE A PERSONAL EMAIL ADDRESS. Please be advised: When you hit submit, it takes a few seconds to send the form. Please only hit submit once. Warrick County Summer Musical Performer Registration Form Student Registration InformationPlease complete all fields. Please note: You will need a parent/guardian's assistance and authorization when completing this form.Student First NameStudent Last NameDate of Birth (Student)Student EmailAddressAddress Line 1Address Line 2CityStateZip CodeCounty- Select -WarrickVanderburghSpencerPoseyHendersonOtherHome PhoneStudent's Mobile PhonePreferred Pronoun- Select -He/HimShe/HerThey/ThemStudent Grade 19-20 School Year (only current grades 8-12 allowed)- Select -89101112SchoolStudent T-Shirt Size (included with registration/acceptance)- Select -Adult SAdult MAdult LAdult XLAdult XXLYouth SYouth MYouth LYouth XLVocal Audition Skillset InformationPlease complete the following the best of your abilityVocal Range- Select -SopranoAltoTenorBaritoneBassI don't knowCan you read music?- Select -Yes, very wellYes, somewhatNo, not wellNo, not at allVocal ExperiencePrivate Vocal Lessons Yes NoVocal InstructorVocal Lessons Number of YearsVocal Awards/Honors/PerformancesHave you been a member of a choir? If yes, which one?Dance Audition InformationPlease complete this section to the best of your abilityBallet Ability- Select -NoneA littleProficientTrained dancerJazz Ability- Select -NoneA littleProficientTrained dancerTap Ability- Select -NoneA littleProficientTrained dancerDo you compete in competitive dance? Yes NoPrivate Dance Lessons Yes NoDance Instructor/Location/StudioDance Lessons Number of YearsDance Awards/Honors/PerformancesActing Audition InformationPlease complete this section to the best of your abilitySkills / SpecialitiesPerformance ExperiencePrivate Acting Lessons Yes NoActing Coach / InstructorActing Lessons Number of YearsActing Awards/Honors/Performances/Previous ShowsAdditional Required Student Information and AcceptancePlease complete fully.Please list any conflicts between June 1 and July 20 (specifically evenings and after 4 p.m.)Preferred Date of Audition- Select -April 6April 7I will accept any role. Yes NoIf no, what roles will you accept?Headshot - please upload a clear shoulder to top of head photoChoose File STUDENT AGREEMENT: Please type your complete first and last name in agreement that all information is true and all permissions have been received before completing this form. You agree to abide by all school rules and rules governing the Warrick County School Corporation and the Warrick Public Education Foundation, its teachers and staff.Parent Authorization InformationParent/Guardian InformationParent/Guardian 1 - First NameParent/Guardian 1 - Last NameParent/Guardian 1 - Best Email ContactParent/Guardian 1 - Best Contact NumberParent/Guardian 2 - First NameParent/Guardian 2 - Last NameParent/Guardian 2 - Best Email ContactParent/Guardian 2 - Best Contact NumberEmergency Contact InformationComplete only if this is different from the parent/guardian information already enteredEmergency Contact - First NameEmergency Contact - Last NameRelationship to studentEmergency Contact - Best Contact NumberStudent Medical InformationPlease complete as fully as possible.Note any medical conditions, special needs, allergies, etc.Current prescription information (Please include whether this will be taken during rehearsals, any refrigeration needs, etc)Hospital preference- Select -DeaconessSt. VincentDo you grant participation for your student including media authorization and any necessary, emergency medical treatment? Yes NoElectronic Authorization - PARENT/GUARDIAN ONLY (Type first 4 letters of your last name and 2 digit month and 2 digit year of your birth -- SMIT0259)Full name of authorizerRelationship to studentVolunteering / Parent ParticipationWe need assistance from parents to make this show a success and take the burden off the students and staff. Volunteers make this program successful. Please let us know if you are willing to volunteer and what areas are of interest to you.Are you able to volunteer in some aspect? Yes NoPlease select all the areas you may be interested in. Concessions Company Meals Staff Meals Sponsorship/Advertising/Marketing Publicity Ticket Selling Costuming Set creation / constructionPlease share any additional information that may be helpful to volunteering opportunities, sponsorship or show development.Submit Form Please be advised: When you hit submit, it takes a few seconds to send the form. Please only hit submit once.