REGISTRATION for ATLANTA YOUNG SINGERS Young Men's Power Sing NOV 1

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Thank you so much for filling this out ahead of time! All Information below is required. Please contact AYS at 404.873.3365 or info@aysc.org if you have any questions.

LAST Name *

FIRST Name *

SCHOOL *

GRADE *

DATE of BIRTH *

YYYY

STREET ADDRESS *

CITY *

ZIP *

Guardian NAME (last, first) *

Guardian CELL PHONE *

in case of emergency

Guardian HOME PHONE *

in case of emergency

Guardian EMAIL ADDRESS *

Has the SINGER's voice changed? *

Yes

Singer is a vegetarian *

YES

How did you hear about AYS Young Men's Power Sing? *

Thank you for helping AYS plan for future Power Sings!

Current AYS Singer

School Choir Director/Music Teacher

AYS Alum

Other Music Educator

Friend

Choir Director at Place of Worship

Email Flyer

Print Flyer

Please list any relevant medical information - food allergies, other allergies (insect stings, asthma, etc.), medication taken, medication needed during YMPS, any activity restrictions, other concerns/information we should know: *

Please type NONE if no info to share.

I agree to supply ATLANTA YOUNG SINGERS of Callanwolde with my singer’s relevant medical and prescription information, listed above.

YES

By checking this box, I hereby give permission for my singer listed above to attend AYS YOUNG MEN’S POWER SING at Atlanta International School and Covenant Presbyterian and pledge that he is physically able to participate in regular activities and that he will abide by the rules of AYS and AIS. *

YES

Required

I give permission for my singer to participate in all activities including, but not limited to: rehearsals, workshops, recreation time, games, etc.

YES

I understand that ATLANTA YOUNG SINGERS of Callanwolde, Atlanta International School, and Covenant Presbyterian Church are not liable for any illness, accident or injury of a singer and acknowledge that my singer is covered by our own family’s health insurance and that I am financially responsible for medical treatment if my singer should need it.

YES

I understand that my singer’s picture may be used in AYS literature.

YES

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