2023 Nationals Fine Arts Registration Form

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2023 Fine Arts Festival

National Fine Arts will be July 31-August 5, 2023 in Columbus, OH

Registration and Payment Due: May 3, 2023

$100 registration fee plus $20 per category ($100 registration fee does not include 1st category)

Additional Cost: $400 for Hotel & Transportation + Additional Categories.

(Optional: if you travel and stay with the group you are with the group the whole time. For example, students cannot be with the group sometimes and with families traveling separate other times. Students cannot stay in the hotel with the group but not travel with the group. Thank you for your understanding in this as it helps us know where everybody we are responsible for is!

Name*

First Name

Last Name

Grade*

Age*

Tshirt Size

Birthdate*

Gender at Birth*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number*

Email*

I DO NOT give permission for the personal information above to be given to any other AG institution, school, or ministry other than my district office, NYM and National Fine Arts.

2. Church Information

Name: Brightmoor Christian Church, Novi, MI

Sr. Pastor: Kjos, Jamie

Youth/FA Leader: Trewern, Kendall

Email: mherr@brightmoorcc.org

Youth/FA Leader Phone Number: 248-668-7091

Mailing Address: 40800 W. 13 Mile Novi, MI 48377

Medical Release

Name*

First Name

Last Name

Medications to which the registrant is allergic:*

Is there anything in the registrant's medical history staff should be aware of in case of a medical emergency?*

Emergency Contact*

First Name

Last Name

Emergency Phone*

By signing below, I assume full liability of hazard and risk for myself (or my child) during the 2023 Fine Arts Festival. I give permission for hospital or medical center staff to administer any necessary treatment immediately to me (or my child) should I (or he//she) be sick or injured during the Festival. I do not hold Brightmoor youth ministries nor Fine Arts nor its respective officers and staff responsible for any injury as a result of my (or my child's participation in the Festival.

Registrant Signature (required regardless of age)*

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Your signature indicates that you have completely read and understand the 2022 Fine Arts Official Rulebook, guidelines, and medical release and will abide by them.

Date*

Parent Signature (required for ALL registrants under 18)

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Your signature indicates that A) You understand and support your child's involvement in Fine Arts and will abide by all rules, guidelines, and medical release. b0 Pictures and/or video taken by Michigan Student Ministries, as well as your student(s) presentation material, may be used for marketing purposes or highlighting future events.

Date

Group List

Do not use church name, church city, church state, category name, or category abbreviation in group names(s).

Group name(s) may use selection or song title, student name(s), character name(s), etc.

To ensure that each individual is placed in the correct group(s), please list the members of your group(s) and accompanists.

All group lists must match others in the group