All-State Choir Camp Registration

ACU's Department of Music is hosting its annual All-State Choir Camp

Conducted by ACU director of choral studies, Dr. Jeff Goolsby, and a team of talented music educators, ACU is pleased to invite high school singers (incoming freshmen through seniors) to our All-State Choir Camp.

This engaging, hands-on choir camp will help students prepare for the TMEA All-State Choir process, emphasizing skills, musicianship, and community. Private school and homeschool students are especially welcome. Students may choose from a Residential or Commuter option.

Student Information

Student First Name

Student Last Name

Student Email Address

Student Mobile Phone Number

Student Birthdate

Student Mailing Address

Country

Street

City

Region

Postal Code

Gender

High School

When do you plan to enroll in college?

Term

Year

Parent Information

Parent First Name

Parent Last Name

Parent email address

Parent Phone Number

Camp Information

2023 All State Choir Member

Will you be a resident (staying on ACU's campus) or a commuter (staying at home) for the duration of camp?

Voice Part

T-shirt Size

Do you need a TMEA music packet? (You will need a packet to participate)

Agreement and Permission to Participate

I approve this application and the conditions listed here, and I hereby certify that my student is willing and able to adhere to ACU Choir Camp policies which can be found at acu.edu/choirs.

I grant permission for my student to participate in every activity offered while at camp, unless explicitly noted in writing.

I agree to abide by ACU and Choir Camp code of conduct

Yes

Permission to Photograph/Video

I understand that as a participant, my student may be photographed or videotaped during normal activities, and these photos/videos may be used in promotional materials or other publications including the camp website.

General Waiver

I HAVE READ THE RELEASE & WAIVER OF LIABILITY, ASSUMPTION OF RISK & INDEMNITY AGREEMENT (below). I FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

Assumption of Risk, Release and Indemnification Agreement

I am fully aware of dangers and risks involved in the program, which include, but are not limited to bodily injury, property damage, and loss of property sustained during participation in program activities or during transportation to and from program activities, and I choose to voluntarily participate in program with full knowledge that the program may expose participants to such dangers and risks. I THEREFORE AGREE TO VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ALL SUCH DANGERS AND RISKS to which I may be exposed as a result of participating in program.

As consideration for being allowed to participate in the program, which is sponsored by Abilene Christian University (“ACU”), I HEREBY RELEASE, WAIVE, HOLD HARMLESS, AND INDEMNIFY ACU (and its Board of Trustees, officers, employees, agents, volunteers and students) from any and all liability, claims, demand, suits, costs, and charges, in connection with or arising out of program, including, but not limited to, any serious bodily injury, medical care received following an injury, death, property damage, or loss of property sustained by myself or others, except for loss, harm, or injury caused by gross negligence or intentional misconduct by ACU (or its Board of Trustees, officers, employees, agents, volunteers or students).

I further understand and agree that this agreement is to be binding on my family, heirs, assigns, and personal representatives.

This agreement is governed by Texas law, and I understand that this agreement is intended to be as broad and inclusive as is permitted by Texas law. If any portion of this agreement is invalid, I agree that the remaining provisions shall continue to be in full force and effect.

I have read this agreement, I understand it, and I agree to be bound by all of its terms

Yes

Student Signature (Please type your name)

Parent name/Signature (if under 18 years of age)

Medical Treatment Authorization Form

Does the child have any known physical defect or illness which might interfere with his/her participation in strenuous activity? If so, please explain.

Does the child have any allergies or reactions to drugs or medicines? Please explain.

Does the child have any other allergies? Please explain.

Is the child presently taking any medications or on any special diet or exercise restrictions? If yes, please list specific details (name of drugs, dosage, etc.).

Indicate the date of last TTB (Tetanus, Dip Tox, Booster shot)

Are there any emotional/social disabilities that would be helpful for us to be aware of?

Health Insurance Information

Policy Holder's Name

Insurance Company

Policy Number

Medical Doctor

Doctor's Phone Number

Emergency Contacts

Other information leaders should know about the child participant

First Aid and Emergency Medical Treatment

I recognize that there may be occasions where the child named above may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of this program to seek and secure any needed medical attention or treatment for the child named above including hospitalization, if in the agent’s opinion such need arises. In doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment.

I give permission for attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment.

I give permission to transport the child named above to a medical treatment center in a non-emergency vehicle in a medical emergency situation.

Name/Signature of Parent or Legal Guardian