Fall 2025 Gateway Community Youth Chorus Member Agreement

Fall 2025 Gateway Community Youth Chorus Member Agreement
General Information
Student Name*

First NameLast Name
Student Gender*

MaleFemaleOther
Student Grade*

3rd4th5th6th7th
Student T-Shirt Size*
please indicate youth or adult size
Student Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*

Area CodePhone Number
Parent/Guardian Email*
example@example.com
Attendance Policy
Tuesday, September 16 | 6-7pm - Parent Meeting during rehearsal

Tuesday, September 23 | 6-7pm

Tuesday, September 30 | 6-7pm

Tuesday, October 7 | 6-7pm

Tuesday, October 14 | 6-7pm

Tuesday, October 21 | 6-7pm

Tuesday, October 28 | 6-7pm

Tuesday, November 4 | 6-7pm

Tuesday, November 11 | 6-7pm

Tuesday, November 18 | 6-7pm

Tuesday, November 25 | NO REHEARSAL (Thanksgiving Break)

Tuesday, December 2 | 6-7pm

Tuesday, December 9 | 6-7pm

Tuesday, December 16 | WINTER CONCERT

There will be one field trip during the semester, date and time TBD
Due to limited rehearsals, students are allowed 3 absences total. Exceptions only for emergencies. If more than 3 rehearsals are missed, the student will be removed from the choir.*

I understand
Member Agreement

This portion needs to be gone over, filled out, and signed by the student
As a member of the Gateway Community Youth Chorus I commit to:*

To be friendly, kind, and respectful to all members of the choir, the choral director, and visiting guest artistsIf I am not well enough to sing, but am well enough to be at rehearsal, I will attend and learn without singingI will focus all of my energy and fully participate in rehearsals to the best of my abilityI will respect the rehearsal space and buildingAt the end of rehearsal I will make sure all of my belongings are taken with meI will treat my music and materials with respect and careI understand I will be learning music styles from different parts of the world and different cultures and those cultures need to be appreciated and respectedI understand failure to meet these expectations may result in removal from the choir
Student Signature*

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Parent Agreement

This portion needs to be gone over, filled out, and signed by the parent/guardian of the student
As the parent/guardian of the Gateway Community Youth Chorus member I commit to:*

I will drop off and pick up my student on timeI understand this is for active learning and not a childcare programI will support my student's learning outside of rehearsal to the best of my abilityI will be sure to check my email frequently for GCYC updatesI will attend the parent meeting during the 1st rehearsal on September 16
Are you interested in volunteering as a rehearsal/field trip chaperone*

YesNo
Student Medical Information
Student Date of Birth*

MonthDayYear
Date
Does the student have any allergies? (Medicine/Food)*

YesNo
List all allergies and the type of reaction they cause
Medications student is taking:
Does the student have any cognitive or physical disabilities?*

YesNo
If yes, please describe any accommodations needed, and the best way we can support the student.
Does the student have any other significant health history (heart condition, diabetes, any injury) the instructor needs to be aware of?*

YesNo
If Yes, please explain
Emergency Contacts
Primary Contact: In case of emergency, please contact the following person *

First NameLast Name
Primary Contact relationship to student*
Primary Contact Phone Number*

Area CodePhone Number
Secondary Contact: In case of emergency, please contact the following person *

First NameLast Name
Secondary Contact relationship to student*
Secondary Contact Phone Number*

Area CodePhone Number
By signing below I understand that in the event of an emergency, I hereby authorize the staff of The Gateway Regional Arts Center to provide or seek appropriate medical care for my child, including first aid, emergency medical treatment, or hospitalization as deemed necessary. I understand that reasonable efforts will be made to contact me first. I release The Gateway Regional Arts Center, its staff, volunteers, and affiliates from any liability for injuries or illnesses sustained during camp activities. I am aware that The Gateway Regional Arts Center has a general media release policy that applies to all individuals in the building. Photos and videos taken during programs may be used in promotional materials, such as brochures, social media, and their website.
Parent/Guardian Name*

First NameLast Name
Medical Information: Parent/Guardian Signature*

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Semester Fee*

GCYC Spring 2025$30.00

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

Fall 2025 Gateway Community Youth Chorus Member Agreement

General Information

Attendance Policy

Member Agreement

Parent Agreement

Student Medical Information

Emergency Contacts

Payment Methods