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 Name Student Last Name Date of Birth (Student) Student Email AddressAddress Line 1 Address Line 2 City State Zip Code County - Select -WarrickVanderburghSpencerPoseyHendersonOtherHome Phone Student's Mobile Phone Preferred Pronoun - Select -He/HimShe/HerThey/ThemStudent Grade 19-20 School Year (only current grades 8-12 allowed) - Select -89101112School Student 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 Experience Private Vocal Lessons Yes NoVocal Instructor Vocal Lessons Number of Years Vocal Awards/Honors/Performances Have 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/Studio Dance Lessons Number of Years Dance Awards/Honors/Performances Acting Audition InformationPlease complete this section to the best of your abilitySkills / Specialities Performance Experience Private Acting Lessons Yes NoActing Coach / Instructor Acting Lessons Number of Years Acting Awards/Honors/Performances/Previous Shows Additional 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 photo Choose 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 Name Parent/Guardian 1 - Last Name Parent/Guardian 1 - Best Email Contact Parent/Guardian 1 - Best Contact Number Parent/Guardian 2 - First Name Parent/Guardian 2 - Last Name Parent/Guardian 2 - Best Email Contact Parent/Guardian 2 - Best Contact Number Emergency Contact InformationComplete only if this is different from the parent/guardian information already enteredEmergency Contact - First Name Emergency Contact - Last Name Relationship to student Emergency Contact - Best Contact Number Student 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 authorizer Relationship to student Volunteering / 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.
