Missouri All State Choir Student Information Sheet
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1Missouri All-State Choir Student Information Sheet
(This form should be sent to the All-State Coordinator as soon as the All-State students have been notified)
Please Print Legibly
Name ______________________________
________________________________ _________________________
Last
First
Middle
Age ________ Check year in school: _____Junior _____Senior
Student Cell Phone (______) __________________
Home Address ____________________________________
___________________________
_______________
Street
City
Zip
Student's Email Address _____________________________________________________________________________
Parent’s Name ______________________________________________ Home Phone (_____) ___________________
Home Address _____________________________________
___________________________
______________
(if different)
Street
City
Zip
Parent's Email Address _____________________________________________________________________________
Number of years as member of any Missouri All-State ensemble (band, orchestra, jazz band, choir) including this year: ___________
Are you a member of Tri-M Music Honor Society? _____YES
_____NO
SCHOOL INFORMATION
High School Choral Director _______________________________ Director’s ACDA Membership #:________________
Director’s Home Phone (_____) _________________________ School Phone (_____) __________________________
Director’s Email ___________________________________ Director’s Cell Phone (_____)_______________________
Name of High School _______________________________________________________________________________
Name of Principal ______________________________________ Phone (_____) ______________________________
High School Address ____________________________________
_________________________
____________
Street
City
Zip
Email address ___________________________________________ School FAX (_____) ________________________
Faculty representative at Tan-Tar-A ____________________________________________________________________
* * * * * * * * * * * *
Tan-Tar-A,
MMEA,
MBA,
MCDA,
Student Signature: ___________________________________________________________
MoASTA
and
MOAJE
assume
no
responsibility for any damage or loss to
any musical instruments or any other
Check Voice Part:
_____Soprano
_____Alto
______Tenor
_____Bass
personal
items
during
the
MMEA
conference. By signing this form (above)
students agree to support and abide by
Check T-Shirt Size: _____Small
_____Medium
_____Large
_____XL
_____XXL
the rules of conduct and further agree
that access to a student’s room and/or
baggage will be provided to an MMEA
Please check the district you represent:
designee upon request.
____Central
____East Central
____Kansas City Metro
____Northeast
____Northwest
____St. Louis Metro
____St. Louis Suburban
____South Central
____Southeast
____Southwest
____West Central
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