NEW MEMBER Music Includes Registration Form

INSTRUCTIONS

- All information on this form is confidential
- This form cannot be saved and completed later
- All red star * fields are required; the form will not submit and you will receive an error if these fields are missing data
- When we receive your form submission we will send an email confirmation with further instructions

If singer requires specialized attention/support with physical and/or emotional needs, parents or caregivers should plan to accompany singer. There is plenty of room for support to attend and are welcomed.

* Indicates required field

Name of person filling out form: *

How did you hear about Music Includes? *

CONTACT INFORMATION

Who should we contact with chorus information? *

Singers Name *

First

Last

Singers Address *

Line 1

Line 2

City

State

Zip Code

Country

Singers Email: (leave blank if none) *

Singers Cell Number: (leave blank if none) *

Parent/Guardian/Responsible Party's Name: *

Parent/Guardian/Responsible Party's Cell Number: *

Parent/Guardian/Responsible Party's Email: *

Does the parent/guardian/responsible party share a physical address with the singer? *

SINGERS PERSONAL INFORMATION

Birthday (Enter as month/date/year); ex: 06/16/1969 *

Emergency Contact Name & Relationship *

Emergency Contact Phone # *

In case of emergency; is there anything you would like us to share with paramedics? *

FINANCIAL INFORMATION

We want everyone to be able to participate, regardless of their financial situation. If you cannot afford dues, please notate in below. Sponsorship is available - no questions asked.

PAYMENT TYPES

Check- in person or can be mailed to the address on your pledge (will be emailed separately)
Cash- in person at rehearsal

Online/electronic

ACH Bank Transfer- from your checking account
Credit/Debit Card- Visa, Mastercard, Discover, American Express
Digital Wallet- Apple Pay, PayPal, Venmo

Members paying by cash or check will receive a 3% discount; cash/check fees are listed below

I will be paying by: *

Membership Dues

VOLUNTEERS

We are a member supported organization and need lots of help!
Please check the box/s below to receive volunteer/follow up information via email.
Checking a box is for informational purposes only.

Volunteer Opportunities *

Board of Directors Membership Team (welcome/greeting) Finance Team (fundraising, grants, planning) Communications/Technical (web, social, art) Production Team (stage crew, risers, decorations) Friends/family can help! (box office, ushers, etc.)

CODE OF ETHICS

NACC/Music Includes is committed to providing members with an environment that is free from discrimination and unlawful harassment. Actions, words, jokes, or comments based on an individual’s sex, race, ethnicity, age, religion, or any other legally protected characteristic will not be tolerated. NACC/Music Includes encourages members to bring any incidents of harassment to the immediate attention of a Board Member, or the Artistic Director/s.

Definition of Harassment

Harassment is any behavior which causes distress, feelings of a lack of safety, or physical harm to another person based on their actual or perceived race/ethnicity, religion, age, gender, gender expression or identity, socioeconomic status, disability, sexual orientation, citizenship status, geography, place of origin, marital status, or familial status. Harassment does not need to have malicious intent; the impacts on the person reporting the harassment must be addressed regardless of the intent. Demeaning remarks, jokes, innuendos about anyone; or remarks about an identity group in the presence of any individual, not necessarily a member of the group mentioned, are also forms of harassment.

I will abide by the NACC Code of Ethics listed above. *

Yes No

NACC/MUSIC INCLUDES SICKNESS PROTOCOLS

The risk of exposure to any virus is higher when singing.

Please do not attend rehearsal if you are not feeling well. We will see you when you are feeling better.

I will abide by the NACC/Music Includes sickness protocols as listed above: *

Yes No

NACC PHOTO/VIDEO RELEASE AGREEMENT

I hereby grant NACC permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

I understand and agree that all photos will become the property of NACC and will not be returned.

I hereby irrevocably authorize NACC to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge NACC from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

By entering my name below, I am confirming that I have read and understand the above photo/video release. I affirm that I am at least 18 years old, and if not, my parent/guarding is accepting the above terms on my behalf:

Name of person accepting on behalf of singer *

The singer's age is: *

Under 18 Over 18

Comments/Questions/Important Notes: *

Click below to submit your application

If you have missed a required field, or your email address is invalid, you will receive an error below the submit button.
The area that has an error will be highlighted in a red box on the form. If you do not receive a "thank you" for your submission, your form was not submitted.

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