Fall 2022/Spring 2023 Registration Form

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 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

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

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 11-12 rehearsals built into the schedule

for possible cancellations

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

Fall 2023

September 5, 2023 thru December 5, 2023

Possible Make up Rehearsal and Concert December 12th

Spring 2024

February 6th, 2024 thru April 23rd, 2024

Possible Make up Rehearsal and Concert April 30th

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 October/November.

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.

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.

Donation$50.00

AYC Donation

Fall 2023 - 10 Rehearsals/Zoom sessions$200.00

This is for 10 sessions Sept 5 -Dec 5, 2023

Spring 2024 - 10 Rehearsals/Zoom Sessions$200.00

This is for 10 Sessions Feb 6 - April 23, 2024

Mail in Check or applying for Scholarship $ Free

If mailing in Check or applying for Scholarship. This is not Free as payment is to be made. Just not online.

Quantity

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 2023-2024 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 2023-2024

Browse Files

Akyama Scholarship Application

Upload Completed Waiver

Browse Files

Waiver

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.

Fall 2023/ Spring 2024 Registration

PARENT / GUARDIAN INFORMATION

Liability/Photo/Video Release

Schedule and Cost

Refund Policy

Payments