2026 YouthCUE All-State Choir Day Camp

2026 YouthCUE All-State Choir Day Camp

September 12, 2026 at Woodland Church, San Antonio, TX
2026 Participant Registration and Medical Waiver
Cost: $55 Per Student

Fee Includes: Shirt, Lunch & Snack
Student's Name

First NameLast Name
Address

street address

Street Address Line 2

citystate

zip code
Student's Personal Email Address
example@example.com
Student phone
Format: (000) 000-0000.
Birthday

MonthDayYear
Date
Current Age
Gender Identity
T-Shirt Size
School Name
Grade in School
What part do you Sing?
Parent/Emergency Contact's Name
Parent/Emergency Contact's Phone Number
Format: (000) 000-0000.
Parent/Emergency Contact's Email Address
example@example.com
Cost per participant: $55 per student

All payments are non-refundable unless the event is cancelled by YouthCUE. An invoice will be sent to your email address. Your registration is not complete until your payment is received.
Medical History & Information
Dietary Restrictions
Physical conditions or limitations food or other allergies (asthma, diabetes, dysmenorrhea, headaches, hypertension, nervousness, seizures, lactose intolerance, or recent surgery or condition restricting walking, standing, sitting, movement, etc.)
Special Instructions (rare blood type, prohibited treatment, allergies to penicillin, latex, sulfa drugs)
List of medications taken regularly
Insurance Company
Policy Group Number
Name of Primary Insured
Please include copy of health plan identification card-front and back (Please upload copies or bring copies to registration on July 6, 2026.)

Cancelof
MEDICAL TREATMENT APPROVAL & GENERAL WAIVER

In the event of an emergency necessitating medical attention, I hereby give my consent to the YouthCUE staff and/or its representatives to make such decisions regarding treatment which is deemed necessary and proper under the circumstances.

I, the undersigned participant (or parent/guardian), do agree to indemnify and hold harmless YouthCUE and/or its representatives from any and all actions, causes of actions, related risks and dangers, arising out of the treatment of any sickness or accident, and agree to assume financial responsibility for all medical treatment provided.

I, the undersigned participant (or parent or guardian), understand and acknowledge that not all students attending the 2026 YouthCUE All-State Summer Camp may have been immunized. I, the undersigned participant (or parent/guardian), do agree to indemnify and hold harmless YouthCUE and/or its representatives from any and all claims and/or causes of action that may arise from exposure to students that are not immunized.
Signature of Adult Participant or Minor Participants Parent/Legal Guardian
Printed Name of Adult Participant or Minor Participants Parent/Legal Guardian
Date

MonthDayYear
Date
Should be Empty:

2026 YouthCUE All-State Choir Day Camp

2026 Participant Registration and Medical Waiver

Cost: $55 Per Student

Cost per participant: $55 per student

Medical History & Information