AAU Detailed Registration Form

Registration Fee $40.00!

REGISTER AS SOON AS YOU CAN!

Singer Information

Singer's Name

Singers First NameSingers Last Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Singer's Email

School attending

Age

Choir or Voice Teacher

Voice Part Preferred

Adult Shirt Size

Attended previous AAU?

Parent/Guardian Information

Parent Name

Parent First NameParent Last Name

Parent Home Phone

Area CodePhone Number

Parent Cell Phone

Area CodePhone Number

Can you volunteer to be a chaperone for the show? Committment is 4:30-9:30 pm.

Chaperone Name

Chaperone First NameChaperone Last Name

Chaperone Phone Number

Chaperone Area CodeChaperone Phone Number

Chaperone Email

example@example.com

Medical Release and Authorization

In the event of a medical emergency (in the judgment of festival personnel or chaperone) to the minor student during the festival, I/we hereby authorize ambulance transport, X-ray examination, anesthetic, dental, medical or surgical diagnosis or treatment by an ambulance service, physician, dentist, or hospital services or any other emergency medical services to said minor whether such diagnosis or treatment is rendered at the office of the physician, dentist or hospital.

It is understood that this consent is given in advance of any specific diagnosis or treatment being required, and is given to encourage those persons who have temporary custody of the minor, and said physician or dentist to exercise the best medical judgment in diagnosis, medical, dental or surgical treatment. I/We understand that I/we will assume full financial responsibility for care rendered.

Emergency Information

Emergency Contact's Name

EC First NameEC Last Name

EC Relationship

EC Phone Number

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Emergency Contact Email

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. IN THE EVENT THAT THE REGISTERED SINGER IS UNABLE TO ATTEND, THE REGISTRATION FEE IS TRANSFERRABLE BUT NOT REFUNDABLE.

Payment

WHEN YOU CLICK SUBMIT FORM BELOW, YOU WILL BE TRANSFERRED TO PAYPAL. PLEASE SELECT YOUR FORM OF PAYMENT (PAYPAL, DEBIT, OR CREDIT CARD) AND AFTER COMPLETING THAT TRANSACTION, YOU WILL BE TRANSFERRED BACK TO THIS SITE.

Registration

Registration fee$40.00

Alaska A Cappella U Festival Registration

Registration*

Registration