Illusions Winter Guard Performing Member Registration Form

Illusions Winter Guard Registration Form

Register a youth as a performing member and provide parent/guardian, medical information consent and signature.
Youth Information
Youth Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Email Address
example@example.com
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Information
Parent/Guardian Full Name

First NameLast Name
Relationship to Youth
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Medical Information & Treatment Authorization

Complete the information below which will be shared only with the Adult Leaders for the purpose of ensuring participant safety. In the event of an emergency where a parent/guardian cannot be reached, I hereby authorize the Guard Director, Operations Manager and/or designated staff to seek emergency medical treatment for my child.
Medical Conditions to Be Aware Of
Allergies
Acknowledgment Checklist
Emergency Contact Information

Please provide the details of someone other than a parent/guardian
Name

First NameLast Name
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Previous Performance Experience

Previous experience is NOT required to join Illusions Winter Guard — all skill levels are welcome! This information helps us plan training and placement.
Does the member have experience with any of the following?
Equipment Rental Agreement

Please ensure that you read the terms of the equipment rental agreement below. By signing and completing this registration form you will have deemed that you are in full agreement of these terms.
As part of Illusions Winter Guard's initiative to keep participation costs down for all performing members, the club will rent each member any equipment not included in your membership dues and is needed for performances, competitions and practices at no cost to the member. The following terms will be in force upon completion of this registration package:
1. All 'rented' equipment will remain the sole property of Illusions Winter Guard at all times. Issuance of equipment to a member does not transfer ownership, title or right of possession beyond the term of active membership. In addition all parent/guardians agree to the following terms and conditions in relation to equipment rental:
2. The member and their parent or guardian is reponsible for ensuring the care and safekeeping of all equipment issued to them will remain in good condition. Any damage resulting from misuse, neglect, improper storage, loss. Failure to report regular maintenance issues to the Guard Director in a timely manner will become the financial responsibility of the member or their parent/guardian if the member is a minor. Repair or replacement costs will be billed accordingly.
3. Should the member or their parent/guardian if the member is a minor be billed for replacement or repair costs, the cost of replacement or repair will be determined by the current retail price at the time of issue. An adult Illusions Winter Guard advisior will be the only party to choose which reputable guard equipment company will be utilized.
4. Should a member voluntarily withdraw from Illusions Winter Guard, or be dismissed from membership for any reason, all equipment rented to the member must be returned to the club in good condition within seven (7) calendar days of the member's last active day. The member, or their parent/guardian, will be notified by email or direct message via TeamReach of the return deadline date on or before the member's final day.
5. Any equipment not returned within the seven (7) calendar day return period will be deemed unreturned and the full current retail replacement value of each unreturned item will be billed to the member or their parent/guardian if the member is a minor. A full invoice will be sent within fourteen (14) calendar days of the missed return deadline. The invoice must be paid in full within thirty (30) calendar days of the invoice date. Failure to remit payment in full within the thirty (30) calendar days will result in the outstanding balance being reported to an appropriate credit and collection agency. The member will be responsible for any additional fees that result.
6. Upon return of all rented equipment, the member along with the Guard Director or Operations Manager will inspect the condition all items. All items deemed in good condition by the Guard Director or Operations Manager will be accepted by the club without the member incurring any costs. Any items deemed not in good condition due to misuse, neglect, loss or improper storage will be assigned replacement costs to the member or their parent/guardian if the member is a minor. Collection of those costs will follow section 5 of the equipment rental agreement.
Code of Conduct & Rowan's Law

Please read the document below to understand and agree to the Member Code of Conduct and Concussion Awareness and Protocols for as directed by Rowan's Law. The attached document is a modified version, the full documents are available for any staff, member, board of director or parent review in our Governance Handbook.
Waiver of Consent to Participate
Acknowledgment Checklist
Photo, Video, Social Media & Communication Consent

Illusions Winter Guard may photograph and/or video record members during rehearsals, performances, competitions, and events for use in promotional materials, social media, the group's website, and community publications.
Acknowledgment Checklist
Parent/Guardian Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Registration Fees

NEW MEMBER ONE-TIME REGISTRATION FEE: $150.00 per member. The initial registration fee will cover 2 membership t-shirts (1 long sleeve and 1 short sleeve) and 2 pairs of guard gloves. This fee does not apply to members who are renewing their membership. The balance of this fee is directed towards the club's operating costs.
Payment Details

Upon submitting your payment denotes approval of the system saving your payment information for the purpose of the monthly payment option or yearly membership renewal. Members can revoke their permission to renew their membership 30 days prior to the yearly renewal date.
Monthly Dues & Optimist Member Fees

All members must pay monthly dues of $50 by auto-withdrawl from a registered bank account. Illusions Winter Guard is a registered Optimist International member and therefore must remit fees on a yearly basis. Your monthly dues ensures that all operating costs, equipment costs, insurance fees, and Optimist International fees remain in good standing. Monthly fees are non-negotiable. The rate of the fee is subject to change each year.

Fee

Registration Fee

One-time initial registration fee for Illusions Winter Guard. Two tshirts and two pairs of guard gloves are included. Ongoing monthly dues of $50 will be set up as an auto payment commencing on the second month of membership until the member resigns from the club. All registration fees are non-refundable.

$150.00 CAD SizeShoe Size

Total

Credit Card

Should be Empty:

Illusions Winter Guard Registration Form

Youth Information

Parent/Guardian Information

Medical Information & Treatment Authorization

Emergency Contact Information

Previous Performance Experience

Equipment Rental Agreement

Code of Conduct & Rowan's Law

Waiver of Consent to Participate

Photo, Video, Social Media & Communication Consent

Registration Fees

Payment Details

Monthly Dues & Optimist Member Fees

Fee*

Credit Card

Fee