2015 Fine Arts Registration Form Great Falls

April 24-25, 2015 Montana GREAT FALLS Fine Arts Festival
Registration Form
Location: Great Falls Central Assembly of God Church
IMPORTANT INFORMATION: Art/Writing/Video presentations are to be postmarked no later than March 27
Writing categories: submit your presentation(s) through email to Andrew Sheldon: [email protected]
Video category: submit your presentation by emailing a youtube link to Andrew Sheldon: [email protected]
Art category: submit your presentation to Central Assembly Attn. Andrew Sheldon 2001 Central Avenue Great Falls, MT 59401
1. REGISTRANT INFORMATION
Name _______________________________________________________ Grade _______
First
Last
Birth Date ____/____/______ Gender M F
Mailing Address ____________________________________________________________________________________________________
Street or PO Box
Phone Number
(
)
Apt.
City
State
Zip
-
___ I do not give permission for the personal information above to be given to any other AG institution, school, or ministry other than my Network office, NYM and National Fine Arts.
2. CHURCH INFORMATION
Name ____________________________________________________________________________________________
Official Church Name
Church City
State
Montana
Official Network Name
Youth/FA Leader ______________________________________________ E-mail_______________________________
First
Last
Youth/FA Leader Phone Number ( __ ) __
Leader e-mail REQUIRED for confirmation purposes
-_____
3. MEDICAL RELEASE
Registrant’s Full Name (Please print) ______________________________ Parent’s Name (Please print) _______________________________
I assume full liability of hazard and risk for myself (or my child) during the network 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 the network
youth ministries nor its respective officers and staff responsible for any injury as a result of my (or my child’s) participation in the Festival.
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 ____________________________________________________________ Emergency Phone (
)
First
.
Last
4. SIGNATURES
REGISTRANT SIGNATURE (required regardless of age)_______________________________________ Date _____/_____/______
Your signature indicates that you have completely read and understand the 2015 Fine Arts Official Rulebook, guidelines, and medical release and will abide by them.
PARENT SIGNATURE (required for ALL registrants under 18) _________________________________________________________ Date _____/_____/______
Your signature indicates that you understand and support your child’s involvement in Fine Arts and will abide by all rules, guidelines, and medical release.
PASTOR SIGNATURE (required for ALL Fine Arts Participants) _____________________________________ Date _____/_____/______
Your signature indicates approval of this student’s participation in Fine Arts and confirms he/she attends your Assemblies of God church or youth group.
5. COST
Cost: $25 for the first category, $5 per each additional category.
ALL registration forms MUST be in by March 27 – no exceptions!
We are no longer accepting Fine Arts registration forms on-site.
Make all checks payable to: Montana Ministry Network
Youth Leader, Mail forms to: Montana Ministry Network, Fine Arts
2147 Overland Ave. Suite 100
Billings, MT 59102
406-652-2417
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April 25, 2015 Montana GREAT FALLS Fine Arts Festival
Registration Form
Location: Great Falls Central Assembly of God Church
IMPORTANT INFORMATION: Art/Writing/Video presentations are to be postmarked no later than March 27
Writing categories: submit your presentation(s) through email to Andrew Sheldon: [email protected]
Video category: submit your presentation by emailing a youtube link to Andrew Sheldon: [email protected]
Art category: submit your presentation to Central Assembly Attn. Andrew Sheldon 2001 Central Avenue Great Falls, MT 59401
6. CATEGORIES
UNDERLINE all the categories you are registering for.
Art Division*
Graphic Design
Photography, Digital
Photography, Film
T-shirt Design
Visual Art, Three Dimensional
Visual Art, Two Dimensional,
Alternative Media
Visual Art, Two Dimensional,
Painting/Drawing
Communication Division
Children’s Lesson Solo
Children’s Lesson Group*
Puppetry Solo
Puppetry Group*
Sign Language Solo
Sign Language Group*
Short Film *
Short Sermon, Jr
Short Sermon, Sr
Spoken Word
Drama Division
Drama Solo
Drama Ensemble, Large*
Drama Ensemble, Small*
Human Video Solo
Human Video Ensemble, Large*
Human Video Ensemble, Small *
Instrumental Division
Guitar Solo
Brass Solo
Instrumental Ensemble, Traditional *
Instrumental Ensemble, Contemporary
Piano Solo
Percussion Solo, Traditional
Percussion Ensemble, Traditional *
Percussion, Unconventional
String Solo
Woodwind
Vocal Division
*
Christian Band
Rap
Songwriting, Performance/Worship
Songwriting, Modern Hymn
Vocal Ensemble, Large *
Vocal Ensemble, Small *
Vocal Solo, Female, Jr
Vocal Solo, Female, Sr
Vocal Solo, Male, Jr
Vocal Solo, Male, Sr.
Worship Team, Sm *
Worship Team, Lg *
Writing Division *
Book Chapter
Children’s Literature
First Person Essay
Flash Fiction
Poetry
* Art & Writing entries must
be submitted to the Central
Assembly by March 27, to
be judged prior to the FA
Festival. They must be
picked up at the festival.
* Make sure you have the
correct GROUP NAME for
every group member.
* Make sure you have
entered the CORRECT
CATEGORY for your
presentation. The criteria
details are in the RULE
BOOK. Do not change your
entry at the Festival.
6. GROUP LIST
To ensure that each individual is placed in the correct group(s),
please list the members of your group(s) and accompanists.
•Group Name
_____________________________________________
Please use a unique name for each group to avoid confusion.
Category _____________________________________________________
Accompanist ___________________________________________________
Members ____________________
__________________________
__________________________
__________________________
__________________________
__________________________
•Group Name
__________________________
__________________________
__________________________
__________________________
_____________________________________________
Please use a unique name for each group to avoid confusion.
Category _____________________________________________________
Accompanist ___________________________________________________
Members ____________________
__________________________
__________________________
__________________________
__________________________
__________________________
•Group Name
__________________________
__________________________
__________________________
__________________________
_____________________________________________
Please use a unique name for each group to avoid confusion.
Category _____________________________________________________
Accompanist ___________________________________________________
Members ____________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
All group lists must match others in the group.
•Group Name
_____________________________________________
Please use a unique name for each group to avoid confusion.
Category _____________________________________________________
Accompanist ___________________________________________________
Members ____________________
__________________________
__________________________
__________________________
__________________________
__________________________
•Group Name
__________________________
__________________________
__________________________
__________________________
_____________________________________________
Please use a unique name for each group to avoid confusion.
Category _____________________________________________________
Accompanist ___________________________________________________
Members ____________________
__________________________
__________________________
__________________________
__________________________
__________________________
•Group Name
__________________________
__________________________
__________________________
__________________________
_____________________________________________
Please use a unique name for each group to avoid confusion.
Category _____________________________________________________
Accompanist ___________________________________________________
Members ____________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
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