Fall 2022/Spring 2023 Registration Form

Fall 2022/ Spring 2023 Registration

2nd Session
Only one Chorister may be registered at a time.
Chorister's Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date*

MonthDayYear
Gender:*

MaleFemale
Phone Number*

Area CodePhone Number
E-mail Address where you'd like to receive confirmation and information:*
example@example.com
Current Grade*
Name of School
PARENT / GUARDIAN INFORMATION
Parent / Guardian Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent Guardian Phone Number

Area CodePhone Number
Emergency Contact Name: (if parent/guardian not reachable)*

First NameLast Name
Emergency Contact Relationship:*
Emergency Contact Day Phone Number:*

Area CodePhone Number
Liability/Photo/Video Release
I hereby give permission for the aforementioned chorister to attend and participate in Alaska Youth Choir activities and rehearsals. I hereby agree to hold harmless and release from liability the Alaska Youth Choir and any representative thereof for any action, claim, or damage that may arise as a result of his/her participation in choir activities. I hereby agree to comply with all rules and restrictions governing him/her set forth by Alaska Youth Choir and explained in the Handbook. I hereby give my permission for any authorized representative of Alaska Youth Choir to obtain service of and/or advice from an available physician or other medical personnel for him/her in case of illness or injury, including any necessary transportation for such emergency care. I hereby agree to assume ALL responsibility for any costs as a result of such medical care.

I furthermore understand the Alaska Youth Choir often takes photographs or videos of participants during its activities or events. I grant permission without compensation that these photographs or videos may be used in publications, presentations, websites or promotion of the Alaska Youth Choir and the HeART of Singing Summer Vocal Camp. The Alaska Youth Choir will not identify my child by name, or release any other personal information without additional written permission from me.
Electronic Signature: By entering my name below, I accept the above conditions and releases. (You must be 18 years old or over to sign below.)*

First NameLast Name
Relationship to registered Chorister:*
Current Date:*

MonthDayYear
Schedule and Cost
Payment is due upon registration

$200/chorister

This is for 10 sessions of rehearsals.

With the hope to have a small concert at the end.

There are a total of 12 rehearsals built into the schedule

for possible cancellations

AYC reserves right to substitute a Zoom session for In person rehearsal.

Fall 2022

September 6, 2022 thru November 29, 2022

Possible Make up Rehearsal and Concert December 6th

Spring 2023

January 31, 2023 thru April 25, 2023

Possible Make up Rehearsal and Concert April 25th

All Rehearsals will be on Tuesdays at 6pm- 7pm @ Faith Lutheran Church on 2500 Sunset Dr in the Valley.

Every Chorister/Family may be encouraged to sell 5 Raffle Tickets (1 book) in November.
Refund Policy
If a chorister has to withdraw it must be done in writing to the Business Administrator email alaskayouthchoir@gmail.com. The refund policy will be as follows (with 1^st rehearsal being counted as the 1^st day). If written withdrawal is received within:

2 days of the 1^st rehearsal then 100% on the Tuition Agreement Amount for the chorister will be refunded minus a $20 administrative Fee.
- 8 days of the 1^st rehearsal then 75% on the Tuition Agreement Amount for the chorister will be refunded minus a $20 administrative Fee.
- 15 days of the 1^st rehearsal then 50% on the Tuition Agreement Amount for the chorister will be refunded minus a $10 administrative Fee.
- AYC will not refund any tuition after the 15th day - Unless concellations made by AYC results in less then 10 rehearsals. Then it will be processed at a prorated rate minus the administrative fee of $20.
*AYC strongly encourages attendance as a Choir depends on choristers listening and depending on each other. AYC also depends on reliable and timely tuition payments. Please email alaskayouthchoir@gmail.com if you have any questions.
Payments
Payment is due upon registration with one of the options below. How do you plan to pay?

Pay Pal/Credit CardMail in a Check - If Checked Pay Pal will not come upSubmit Scholarship Form - I understand if Scholarship is not granted payment is still expected. See below to upload form
To Pay by Pay Pal or Credit Card please pick one box below: It will prompt for payment when you click the submit button below.
prevnext( X )
Donation$50.00
AYC Donation

Fall 2022 - 10 Rehearsals/Zoom sessions$200.00
This is for 10 sessions Sept 6 -Nov 29, 2022

Spring 2023 - 10 Rehearsals/Zoom Sessions$200.00
This is for 10 Sessions Jan 31tst - April 25th, 2023

Total $0.00
Please verify that you are human*
Mail in a check - Please List Choristers Name

Alaska Youth Choir

P.O. Box 33252

Juneau, AK 99803

Apply for Scholarship - The Akiyama Scholarship 2022-2023 Form can be found under this websites "Scholarship info" page. Download from website, complete and re upload here.

A Waiver for each Chorister must be signed and received before they can participate in AYC - The Waiver Form can be found under this websites "Members"page. Download from website, complete and re upload here.
Upload completed Akiyama Application 2022-2023

Browse Files
Akyama Scholarship Application Cancelof
Upload Completed Waiver

Browse Files
Waiver Cancelof
Upon completion of filling in all areas of form, click "Submit Form". Only one chorister may be registered at a time. You may click "Print Form" to print a copy of this form. Do you have questions or need help with online registration? Email Amanda at alaskayouthchoir@gmail.com.
Should be Empty:

Fall 2022/ Spring 2023 Registration

PARENT / GUARDIAN INFORMATION

Liability/Photo/Video Release

Schedule and Cost

Refund Policy

Payments