OnLine Membership Registration: 2009/2010

Section:
Prizm Winter Guard		Junior Winter Guard
Date:
Name:		Email:
Address:
City:		Postal Code:
Phone:		Date of Birth:
School:		Grade:
Mother's Name:		Employer:
Mother's Cell Phone:		Mother's Email:
Father's Name:		Employer:
Father's Cell Phone:		Father's Email:
FINANCIAL OBLIGATIONS:
Dues are $25 per month by post dated cheques from October 1, 2009 - May 1, 2010. 8 Cheques total or 1 cheque for $150 (Save $50). Family Plan (2 or more children from same family): $50 per month by post dated cheques from October 1, 2009 - May 1, 2010. 8 Cheques total or 1 cheque for $300.
AGREEMENT OF MEMBERS: I realize, and agree, that missed rehearsal and performances without good reason, are cause for suspension with no refund of dues. I have my parents/guardian's full approval to be a member.
AGREEMENT OF PARENTS/GUARDIAN: We, the parents / guardian of the above named, guarantee that we are fully covered by Liability and Accident Insurance and hereby absolve, and hold blameless, the Director, Management, Staff and Volunteers of the STEEL CITY SOUND YOUTH ENSEMBLE and/or PRIZM WINTER GUARD in the event of accident, or any other misadventure. Further, we promise to pay the cost of equipment that is lost or stolen or damaged through misuse or abuse.

Parent/Guardian:		Leave Area to Left Blank and Sign in Person at First Practice.
Date:
I found out about your organization from: Spectator Cable 14 Radio Mountain News School Flyer Rec Center Guide Friend or Relative Other