NCDA Summer Conference 2025

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NCDA Summer Conference 2025 - Ensembles

This form must be filled out by the parent/guardian of participating students. Please submit this form ASAP. Please note: NCDA may use photos and/or video of rehearsals, performances, and other activities for promotional purposes.

Email *

Student First Name *

Student Last Name *

Student School *

Student Email Address - Non-School Email *

Student Gender *

Female

Male

Other:

Required

Student Home Address *

Student Home City, State, Zip *

Student Voice Part *

Soprano

Alto

Tenor

Bass

Parent/Guardian Name *

Parent/Guardian Email Address *

Which ensemble is your student participating in? *

All-State Concert Choir (2024-2025 9th-12th grade students)

Middle Level Honor Choir (2024-2025 6th-8th grade students)

All-State Show Choir (2024-2025 9th-12th grade students)

Required

Student T-shirt size *

Adult Small

Adult Medium

Adult Large

Adult XL

Adult XXL

Other:

Required

Roommate Request

Does your child have any medical needs/allergies that NCDA would need to be aware of? *

Yes

Please explain.

Does your child take medication regularly? *

Yes

What medications will they have with them?

Permission to treat *

I give NCDA permission to treat my child in the case of a medical emergency

I DO NOT give NCDA permission to treat my child in the case of a medical emergency and hereby release NCDA, its board and employees from any liability for ill effects that may result from my decision to refuse to consent to treatment

Primary Emergency Contact Name *

Primary Emergency Contact Phone *

Secondary Emergency Contact Name *

Secondary Emergency Contact Phone *

Would you be willing to chaperone at Peru State for your student's ensemble? Housing and meals will be provided at no cost for all chaperones. *

Yes

Chaperones: Do you have any medical background? *

Yes

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