PENNSYLVANIA MUSIC EDUCATORS ASSOCIATION
DISTRICT AND REGION/STATE FESTIVALS
CONTRACT
Please print or type all sections on both sides of this contract
and return with MEDICAL FORM and PAYMENT to:
festival host director
school street
city, state, zip code
______________________________________________________________________________
Section 1: To be completed and endorsed by student.
____________________ ____________________________________________________
Student Last Name Student First Name Name of ensemble instrument/Voice part
_____________________________________________________________________________________________
Age Grade Sex Height in inches (Choir Only)
___________________________________________________________________PA__________________________
Home Street Address (Apt. Number) City State Zip Code
________________________Bellefonte Area School District_____(814-355-4833)______________
Home Phone Number Name of School District School Phone Number
CONTRACT AGREEMENT
I hereby acknowledge and accept the following rules regarding the PMEA festival in which I am participating. I agree to abide by these rules and by all policies which have been adopted or which may be adopted in the future by PMEA regarding this event. I understand that PMEA has the sole discretion to make all decisions, including but not limited to disciplinary matters and the final approval of students selected to perform. I also agree to:
1. Prepare assigned music prior to the Festival.
2. Conduct myself courteously and appropriately at all times.
3. Abide by the Student Code of Conduct and Rules.
4. Neither use nor have in my possession at any time alcoholic beverages, illegal drugs or substances.
5. Not to smoke during the entire festival beginning with on site registration & concluding with the concert.
6. Not participate in pranks or vandalism of any kind. (If damaged any property, my parents and/or I will assume financial responsibility.)
7. Abide by all decisions made by appropriate PMEA officials and obey all regulations listed above as well as any other regulations which may be implemented in the future by the host director or other administrative official.
8. Wear proper identification badge at all times
9. Cooperate fully with host director & PMEA officials.
10. Protect and promptly return all music materials after the concert if requested.
11. Attend all rehearsals and concert(s) on time. Students should not apply to participate in festivals if for any reason, including religious activities, they plan to miss part of the affair. A student must participate in the complete festival program commencing with registration and concluding with the final concert, except in case of illness that must be verified in writing by a physician within 5 days of the festival. Students must rehearse and perform all musical compositions selected for the concert.
In signing this contract, I understand that membership in any PMEA Festival is a privilege and that membership may be forfeited if I fail to follow any of the above rules. I understand that violation of the above rules will give administrative officials the right to exclude me from participation. If such violation(s) occur, I understand that my parents/guardian will be immediately notified and that they will be expected to provide my immediate transportation home.
_____________________________________ ______________________________________
Student signature Date
(over)
______________________________________________________________________________________________
SECTION 2: To be completed and endorsed by parent or guardian.
I have read this official PMEA Festival document, discussed its contents with my son/daughter, agree to its contents, and agree to support its enforcement. I understand that the school will arrange transportation with my cooperation and understanding to the festival. (Students are not permitted to drive during a PMEA Festival). My son/daughter has my permission to participate and I understand that his/her participation in this festival is solely at his/her own wish and I will not hold PMEA and its officers, directors, employees or volunteer officials responsible for any injuries or damages my son/daughter may suffer in any way related to this event.
___________________________ _________________________ _________________________
Parent/Guardian Printed name Home Phone Work Phone
_____________________________ __________________________
Parent/Guardian signature Date
_________________________________________________________________________________
SECTION 3: To be completed by school personnel
_________________________________ ___(814-355-4833)_______
Student name school phone number
We the undersigned have read this official PMEA Festival document discussed its contents with the student and agree to support its enforcement. We understand that the school will arrange transportation with parent/guardians cooperation and understanding to the festival. (Students are not permitted to drive during a PMEA Festival). We endorse this student as an outstanding musician and student worthy of PMEA Festival membership. We will assist him/her in preparing the music selected for the program.
___Mr. Jay Zimmerman___ __018030___ ____ 6-30-07_______
Music teacher printed name MENC/PMEA I.D. Number expiration date
__________________________________ ________________________
Music Teacher signature date
__________________________________ ________________________
School Principal Signature date
Please list below the name of the person from your school district who will be attending this PMEA Festival and will assume responsibility for this student and accompany the student to the On-Site registration and serve on the Audition Committee. Every student is required to have a PMEA Member accompany him/her to registration.
_ Mr. Jay Zimmerman_____ ____Band Director___
Name Title
______________________________________________________________________________________________
SECTION 4: To be completed and endorsed by parent or guardian and student
If selected for ___________________________________________________________________________________
Name of Festival Date Location
___________________________________ will__________will not____________attend.
Student Name
_____________________________________________
Parent or Guardian Signature
________________________________________________________________________________
Return both sides of this CONTRACT, MEDICAL FORM, and PAYMENT to:
festival host director
school street
city, state, zip code
Keep a copy for your records.
PMEA USE ONLY:
________________check or PO# ________________Check Date_____________ Amount _________ Received Date