2024-2025 Stewarts Creek Choirs Student & Family Registration Form and Contract

2024-2025 Stewarts Creek Choirs

Medical Information and Release Form
Your child's Primary Physician Name*
Enter physician name or N/A
Primary Physician Phone*
Emergency Contact Name if Parent(s)/Guardian(s) Cannot be Reached*

First NameLast Name
Emergency Contact Cell Phone Number*
Emergency Contact Relation to Student*
Vision and Audiology (Check All That Apply)

GlassesContactsHearing Aid
Has your child ever received a Tetanus Shot?*

YesNo
Do you know the date of your child's last Tetanus Shot?*

YesNo
Date of student's last tetanus shot:*
MM-DD-YYYY
Does your child carry / require an EPI Pen?*
Does child carry / require an Asthma Inhaler?*
Does child have a nut allergy?*
Please list your child's known food or medication allergies, or enter "N/A" if none.*
Please list your child's known medical conditions or enter "N/A" if none.*
Please list your child's prescription/over-the-counter medications being taken or enter "N/A" if none.*
Health Insurance Company Name*
Enter insurance company or N/A
Insurance Policy Number*
Enter insurance policy # or N/A
Consent and Agreement

In the event that {studentName} is presented for, or requires medical treatment or surgery or any other form of medical care or aid, I, {primaryParentguardian26}, as the parent/legal guardian of the above named student, do hereby authorize the Directors/Chaperones standing in loco parentis to be consulted with, and consent to, any medical treatment or care deemed necessary by any doctor, nurse or other medical personnel. I also guarantee payment of all charges incurred for medical treatment such as, but not limited to physician, hospital, x-ray, lab, drugs, and EMS. (For emergency use only. Every effort will be made to contact parent/guardian prior to treatment). I agree to indemnify and hold harmless the choir directors, staff and chaperones of Stewarts Creek High School Choirs, Stewarts Creek High School, and Rutherford County Schools, its agents and employees for any and all claims, demands, actions, rights of actions and/or judgments by or on behalf of the above named student arising from or on account of said procedures and/or treatment(s) rendered in good faith.

By entering my name below, I {primaryParentguardian26}, attest that I am a parent or legal guardian of {studentName} and that the medical information provided on this form is accurate. I hereby consent and agree,
Parent/Guardian Signature for Medical Release Form*

First NameLast Name
Signature - Medical Release Form

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2024-2025 Stewarts Creek Choirs

Over-the-Counter (OTC) Medication Consent Form
Indicate if you wish to allow Parent Chaperones and/or Choir Directors to administer non-prescription medications to {studentName} on occasions when Stewarts Creek High School Choirs events are held off-campus or at times when Stewarts Creek High School Choirs events are held when school is not in session or at other times as needed. If so, selected medications will be administered only when symptoms warrant and will be given in strict compliance with package directions regarding age, dosage and frequency.
Over the Counter Medication Directive*

Do not administer any over-the-counter medication.Administer over-the-counter medication(s) specified below:
Select Over the Counter Medications to be Administered*

Acetaminophen (Tylenol)Ibuprofen (Advil)Bismuth Subsalicylate (Pepto Bismol)BenadrylCalamine LotionNeosporin or First Aid CreamBee/Insect Sting Topical Analgesic
By entering my name below, I, {primaryParentguardian26}, attest that I am a parent or legal guardian of {studentName} and that the Over-the-Counter (OTC) Directive information is accurate.
Parent/Guardian Signature for OTC Directive Form*

First NameLast Name
Signature*

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2024-2025 Stewarts Creek Choirs

Travel Permission and Activity Consent Form
Officially sanctioned events and activities requiring off-campus travel, involve student choir members leaving from, and returning to, Stewarts Creek High School (or other designated locations) at announced times and in an organized fashion will take place each academic year. Travel to officially sanctioned events will primarily occur on school buses driven by Rutherford County School employees or approved operators or on commercial charter buses when applicable.

Student choir members are responsible for abiding by the rules and policies of Stewarts Creek High School Choirs, Stewarts Creek High School and Rutherford County Schools at all activities. All rules and regulations will be clearly stated prior to events. In case of serious violation of any rules or regulations, parents/guardians will be notified by telephone, if possible, and arrangements will be made for the child to return home. Should the above discipline be necessary, parents/guardians will be responsible for any expense incurred.

Not all events and activities will apply to all choir members and there may at times be officially sanctioned events that involve a particular section or particular members of the Stewarts Creek High School Choirs. There may also be times when a small number of choir student members are involved in officially sanctioned events and activities where travel via bus would be impractical. In such cases students may be asked to drive themselves (with parent permission) or ride with an approved parent/guardian driver to and from these activities. Parents/guardians will be notified in advance when such circumstances should arise.

Specific schedules – i.e. “Gig Sheets” will be available the week of each event. Events, activities, times, and locations are subject to change.

By signing below, you are giving your student permission to attend the following, officially sanctioned choir events for the 2024-2025 academic year:
- Fall Choral Retreat (Apollo and Athena Choirs only). August 5-6. Leaving before 9am on Monday, returning after 9pm on Tuesday. Camp DoReMi in Harstville, TN.
- All-County Choirs (only for students who audition for Mid-State and are placed in the All-County Choirs). October 28-29. 5pm-9pm Sunday; 7am-9pm Monday. FUMC Murfreesboro.
- Mid-State Choirs (only for students who audition for Mid-State and are placed in the Mid-State Choirs). November 18-19. 4pm-10pm Monday; 7am-9pm Tuesday. Belle Aire Baptist Church, Murfreesboro.
- RSMS Concert (Apollo students only). December 10, 2024. 3:30pm-9pm. Rock Springs Middle School.
- Freshmen Honor Choir (only for students who audition for Mid-State and are placed in the Freshmen Honor Choirs). January 23 with Snow date of January 30. 7am to 9pm. Belle Aire Baptist Church, Murfreesboro.
- MTVA Choral Performance Assessment. We will travel during the date window of February 18-21 or February 24-28. Each choir will be given an exact leaving, performance, and return time that will happen one or more of these days with the possibility of arriving as early as 7am and returning as late as 6pm. FUMC Murfreesboro.
- All-State Choirs (only for students who audition for Mid-State and are placed in the All-State Choirs). April 10-12. Leaving at 9am on Wednesday, returning late on Friday evening. Opryland Hotel.
I attest that I, {primaryParentguardian26}, am a parent or legal guardian of {studentName} and have read and understand the travel requirements of Stewarts Creek High School Choirs, including expected behavior of choir members and remediation if problems arise. I give permission for my child to travel in all modes described herein for all officially sanctioned events listed above and performances of the Stewarts Creek High School Choirs . I furthermore give permission for my child to participate in the above-listed officially sanctioned events of the Stewarts Creek High School Choirs, and that this permission shall remain in effect for the duration of one calendar year from the authorized date on this form.
Parent/Guardian Signature for Travel Permission and Activity Consent Form*

First NameLast Name
Signature*

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2024-2025 Stewarts Creek Choirs

Uniform Agreement Form
All students issued school-owned choir robe agree to treat them with respect and take measures to avoid loss or damage.

Replacement values of each choir robe is $50.00.

By entering my name below, I attest that I, {primaryParentguardian26}, am a parent or legal guardian of {studentName} and I agree to the terms of the Uniform Agreement Form.
Parent/Guardian Signature for Uniform Agreement Form*

First NameLast Name
Signature*

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Family Financial Contribution Agreement Form
The Stewarts Creek High School Choirs program is a co-curricular activity, with activites in and out of school. Participation in choir is not a requirement for graduation, but rather is a voluntary and elective choice.

Because annual funding through the Rutherford County School budget accounts for a small fraction of the total needed for the fundamentals of an effective choir program, funding for about 95% of the overall annual budget is requested as an investment from each family in the form of a financial contribution. We ask that each student in Giovani Voci, Meistersingers, and Bel Canto contribute $65 as a required class fee by the end of August each Fall. Students in Apollo and Athena should contribute $65 as a required retreat fee each Fall and a $65 required class fee by the end of January each Spring.

No student will ever be denied participation in the Stewarts Creek High School Choirs due to a family’s inability to contribute financially. Fundraisers are setup to help students and families make their contribution.

If there is ever a financial situation that arises, please do not hesitate to contact the choir directors. We are here to help. Communication is the key. To avoid report cards and/or student records/transcripts being held, we ask that all families contact the choir directors to settle all class fee obligations. We must also insist that all financial obligations must be current or paid in full in order for students to participate in optional special trips.

Students approved for Free/Reduced Lunch or RCS Fee Waiver will have the $65 Choir Class Fee waived; however, other fees (for honor choirs, special trips, etc), cannot be waived and are expected to be paid in full.

By entering my name below, I attest that I, {primaryParentguardian26}, am a parent or legal guardian of {studentName}. I understand that my child's participation in the Stewarts Creek High School Choirs is both a co-curricular activity and elective choice not required for graduation. I agree to satisfy my financial contribution to the Stewarts Creek High School Choirs as outlined above.
Parent/Guardian Signature for Financial Contribution Agreement*

First NameLast Name
Signature*

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2024-2025 Stewarts Creek Choirs

Calendar Agreement Form
The Stewarts Creek High School Choirs function on a high level due to the coordinated efforts of Stewarts Creek Administration, Faculty, and Parents. We cannot be successful without everyone present at all in-school and after-school choir events. Be proactive in maintaining a personal calendar with your dates for family, church, sports, choir, etc. Communicate any potential conflicts that might arise to choir directors, coaches, etc.

All concerts listed below are required of all students:
- Sept 26 - 7pm - Fall Choir Concert (all choir students)
- Oct 24 - 6:30pm - Choral Extravaganza (all choir students)
- Feb 13 - 7pm - Pre-Adjudication Concert (all choir students)
- Apr 29 - 7pm - Spring Choir Concert (all choir students)
In addition, the events listed below are required for the indicated students only:
- Sept 19 - 7pm - NW Rutherford MS Mass Choir (Athena & Apollo only)
- Feb 28 - 3:30-5:30pm - Recording Session (Apollo only)
- Mar 7 - 3:30-5:30pm - Recording Session (Athena only)
- Mar 10 - 3:30-5:30pm - Visit to SCMS (Apollo & Athena only)
- Mar 11 - 6pm - Freshmen Orientation (Meistersingers & Apollo only)
Additional, non-required activites (such as honor choir auditions and honor choir events), are on the Online Choir Calendar. If you think you'd like to participate in these (a mmajority of choir students choose to do so), please make notes of these dates now.

Specific Call Times, along with all other information about a choir event, are found on gig sheets and on the Online Choir Calendar. The Stewarts Creek Choir Calendar can always be found at www.StewartsCreekChoirs.com or on the Stewarts Creek High School website for reference throughout the year. Please make yourself aware now of all choir events found on the Online Choir Calendar. Put these events on your calendar now and please do not schedule any other events on these dates

By entering my name below, I attest that I, {primaryParentguardian26}, am a parent or legal guardian of {studentName}. I understand that a comprehensive choir calendar is available at www.StewartsCreekChoirs.com. Our family has scheduled the dates on the Online Choir Calendar on our family calendar and AGREE NOT TO SCHEDULE OTHER EVENTS (family vacations, doctor visits, church retreats, etc) ON THESE DATES. I understand that only school-related conflicts (such as school-sanctioned clubs, athletics, etc) can be excused absences from any choir event, and we agree to communicate conflicts with choral directors as soon as they arise.
Parent/Guardian Signature for Calendar Agreement*

First NameLast Name
Signature*

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2024-2025 Stewarts Creek Choirs

Handbook and Polices Signature Form
NOTE: Please refer to the

Stewarts Creek Choir Handbook
on the choir website:
www.StewartsCreekChoirs.com

Located under the Forms/Handouts page
I have read, understand, acknowledge, and accept the rules and policies governing my child's participation in the Stewarts Creek High School Choirs. *

First NameLast Name
Parent Signature*

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Stewarts Creek Choir Handbook on the choir website: www.StewartsCreekChoirs.com

2024-2025 Stewarts Creek Choirs

Stewarts Creek Choir Handbook
on the choir website:
www.StewartsCreekChoirs.com