Page 1
IOWA Destination ImagiNation®2012
IOWA MEMBERSHIPREGISTRATION INSTRUCTIONS
Use with all Challenges EXCEPT project®
Welcome to another exciting year with Destination ImagiNation® in Iowa. Please review the following instructions to register your team for Iowa membership. Your Iowa membership fee includes blog support, a Basic Training Podcast for Team Managers & Coordinators, an Advanced Training Workshop for Team Managers & Coordinators, Appraiser Training and participation at Iowa Tournaments.
An Iowa membership fee of $65.00 per competitive team (Elementary, Middle, Secondary Level, or University Level) and $45 for each non-competitive team must accompany this registration form. Non-competitive teams include Early Learners (Rising Stars!®) and those elementary, middle, secondary, or university teams that choose to participateat an Iowa Tournament without being scored. Fees for all teams from a membership may be paid with one check or listed on the same Purchase Order.
Registration Deadline: January 9, 2012
Registrations postmarked after January 9, 2012will have an Iowa membership fee of $85per competitive team and $65 perEarly Learnersor non-competitive team. Late registration deadline is January 20, 2012.
Each competitive and non-competitive team that performs in Challenges A – E is responsible for providing an individual, who will be trained by Students for a Creative Iowa, to represent your team as a Challenge Appraiser at the Destination ImagiNation® Tournaments in Iowa. This ensures that all teams have an adequate number of well-trained Appraisers to watch, enjoy, and award points for team performances at each Tournament.
For your team to perform at the Sub-state and State Tournaments your trained Challenge Appraiser must appraise at both Tournaments. Your trained Challenge Appraiser must have appraised at both the Sub-state and State Tournaments for your team to compete at the Destination ImagiNation® Global Finals (if your team qualifies). Your trained Challenge Appraiser will NOT be required to appraise at Global Finals.
Each Rising Stars!® team will provide one volunteer to provide support at the Sub-state Tournament.
Mail completed Iowa membership registration forms and related fees to:
Students for a Creative Iowa
2012Iowa Membership Registration
3825 92nd Dr
Urbandale, IA 50322-2187
UThe following forms are to be completed and mailed to the above addressU:Completed?
Page 2 - Iowa MembershipRegistration (One Copy)
Page 3 - Team Registration (One Copy)
Page 4 - Team Member Registration (One Copy)
Page 5 - Appraiser Registration with Section 1 & 2 completed (One Copy)
UThe following forms are to be completed and provided to your Challenge AppraiserU:
Page 5 - Appraiser Registration with Section 1 & 2 completed (Two Copies)
Page 6/7 -Appraiser Challenge Overview (One Copy)
Page 8 - Appraiser Agreement (One Copy)
UThe following forms are to be completed and provided to your Rising Stars! ®VolunteerU:
Page 9 -Rising Stars!®Volunteer Information
One Copy to be Mailed
Any questions regarding registration for membershipshould be directed to Students for a Creative .
IOWA Destination ImagiNation®2012
IOWA MEMBERSHIP REGISTRATION
Make checks payable to “Students for a Creative Iowa.”
Please find enclosed: Check # / or Purchase Order #DI TEAM NUMBER: / 112-
GROUP MEMBERSHIP NAME:
TEAM NAME:
TEAMCITY:
TOURNAMENT LOCATIONS:
We plan to participate in
Ames on UMarch 3, 2012 at the Sub-state Tournament
Ames on UApril 14, 2012 at the State Tournament
UREQUEST FOR ACCOMMODATION OR SPECIAL SCHEDULING CONSIDERATION:
Any requests need to be communicated toIowa Membership Registration ()no later thanfourteen (14) days before all Tournaments.
If any team member has special needs, please indicate the type of accommodation requested (e.g., wheel chair access). Students for a Creative Iowa will do its best to meet the needs of its participants.
Our team needs to request a special scheduling consideration for the following reasons (e.g.: Morning performance times are needed because of a conflict with a music contest). Please be specific in your special scheduling request (for both Instant Challenge and Team Challenge.)
One Copy to be Mailed
IOWA Destination ImagiNation®2012
TEAM REGISTRATION
DI TEAM NUMBER: / 112-GROUP MEMBERSHIP NAME:
CONTACT PERSON:
E-MAIL ADDRESS:
ADDRESS:
CITY/STATE/ZIP:
PHONE(day): / PHONE(evenings):
TEAM MANAGER:
(n/a for UL teams)
E-MAIL ADDRESS:
ADDRESS:
CITY/STATE/ZIP:
PHONE(day): / PHONE(evenings):
Our team has chosen its competition level using:Grade Level or Age
For Challenges A-E below, our team has chosen to compete:
Competitively or Non-Competitively
A: Assembly RequiredEL (Elementary) ML (Middle) SL (Secondary) UL (University)
B: The Solar StageEL (Elementary) ML (Middle) SL (Secondary) UL (University)
C: Coming AttractionsEL (Elementary) ML (Middle) SL (Secondary) UL (University)
D: News to MeEL (Elementary) ML (Middle) SL (Secondary) UL (University)
E:Hold It!EL (Elementary) ML (Middle) SL (Secondary) UL (University)
Rising Stars!® Built to LastEarly Learnerslevel: (This challenge is non-competitive)
One Copy to be Mailed
IOWA Destination ImagiNation®2012
TEAM MEMBER REGISTRATION
DI TEAM NUMBER: / 112-List all Team Members (maximum of 7 team members for Challenges A-E and no limit forRising Stars!®)
Name / Grade / Date of Birth / Competing on Other Team(s)? / Other Team Number(s)Yes No / 112-
112-
Yes No / 112-
112-
Yes No / 112-
112-
Yes No / 112-
112-
Yes No / 112-
112-
Yes No / 112-
112-
Yes No / 112-
112-
TEAM – Please mail ONE copy of this form with Iowa Membership Registration.
APPRAISER – Please bring TWO copies of this form with you to Appraiser Training.
IOWA Destination ImagiNation®2012
APPRAISER REGISTRATION
USECTION 1 -TEAM INFORMATION – Team please complete for your Appraiser
TEAM NAME:DI TEAM NUMBER: / 112-
CHALLENGE: / A B C D E / LEVEL: / EL / ML / SL / UL
BOTHTOURNAMENTS UL teams will compete at the State Tournament ONLY / AMES
USECTION 2 – APPRAISER INFORMATION- Complete prior to training
APPRAISER NAME:ADDRESS:
CITY/STATE/ZIP:
PHONE(day): / PHONE(evenings):
(please list an e-mail address that is checked regularly)
E-Mail Location: Home School/Business Team Manager’s Coordinator’s
DI Experience: / Appraiser: Yrs / Team Mgr: Yrs / Team Mbr: Yrs / Other: Yrs
USECTION 3 - APPRAISER INFORMATION- To be completed at training
CONFLICTS OF INTEREST (Team Manager for or related to Team Member in; check all that apply):
A: Assembly RequiredELMLSLULD: News to Me EL ML SLUL
B: The Solar Stage EL ML SLULE: Hold It! EL ML SLUL
C: Coming Attractions EL ML SLULprojectOUTREACH® EL ML SLUL
CHALLENGE TRAINED IN:
A: Assembly RequiredB: The Solar StageC: Coming Attractions
D: News to Me E: Hold It!Instant Challengeproject®
POSITION TRAINED IN:
Appraiser Team OrganizerHead AppraiserTimekeeper/AnnouncerPrep Area Appraiser
Team Challenge Appraiser Check-In Appraiser Weight Placement
WHERE TRAINED:Carroll(2/11/12) (2/4/12) Iowa CityAmes (2/18/12)
Please allow enough time for check-in at Appraiser training at which time you will turn in completed paperwork and make your final Challenge selection. Check-in begins at 9:00 a.m. and training runs from 10:00 a.m. to 3:00 p.m. You may purchase lunch on-site for $5 or bring your own sack lunch. There will not be an opportunity to leave the site for lunch.
APPRAISER – Please bring one copy of this form with you to Appraiser Training.
IOWA Destination ImagiNation®2012
APPRAISER CHALLENGE OVERVIEW
UReturning Appraisers who appraised in both 2010 and 2011U:
You may pre-select your Challenge prior to training by e-mailing your request to: UpriorU to January 22,2012.
UAll other Appraisers (and returning Appraisers who are not pre-selecting)U:
Please review the Challenges listed and come prepared to select your challenge at the training session. Please note, however, that at the time of your Challenge sign-up, not all Challenges may have open slots and you must be prepared with alternative selections and the possibility of being assigned to a Challenge based on Tournament need.
Training Options (choose one):Sat., Feb. 4, 2012 (Iowa City); Sat., Feb. 11, 2012 (Carroll); Sat., Feb. 18, 2012 (Ames). Check-in: 9:00 a.m. Training: 10:00 a.m. to 3:00 p.m. On-site lunch: Bring $5 or a sack lunch.
Challenge A – Assembly Required(Technical)
Focus: Engineering • Technical Design • Mathematics • Logistics and Decision Making • Critical Thinking • Collaboration • Communication
Your team will:
- Design and build Equipment that retrieves Parts and delivers Products.
- Assemble Products from team-provided Parts to fill Orders and to use in your team’s Presentation.
- Earn extra points by deciding how best to fill Orders with no Parts or Products left over in the Assembly Area.
- Present a team-created Story about something that happens just in time.
Challenge B – The Solar Stage(Science) Sponsored by: Ameresco
Focus: Science • Solar Energy Research • Model and Prototype Construction • Storytelling • Theatrical Lighting Design • Creativity • Critical Thinking • Collaboration • Communication
Your team will:
- Create and present a theatrical performance that tells a Story about the use of solar energy.
- Integrate research about past and/or current uses of solar energy.
- Design and create a Solar Energy Prototype that demonstrates a new way to collect, capture and use solar energy.
- Design and provide Theatrical Lighting to be used to illuminate the Presentation and to create special theatrical effects.
Challenge C –Coming Attractions (Fine Arts)
Focus: • Storytelling • International Cultures • Cinematic Special Effects • Music and Sounds • Theater Arts • Creativity • Critical Thinking • Collaboration • Communication
Your team will:
- Present a Movie Trailer involving characters from at least two Nations.
- Design a Cinematic Special Effect and feature it in the Movie Trailer.
- Create an Original Soundtrack that complements the Movie Trailer.
Challenge D – News to Me(Improvisational)
Focus: • Improvisational Acting • Story Development • Teamwork • Cause and Effect Relationships • News Stories from Various Sources • Collaboration • Creativity • Communication
Your team will:
- Learn about different types of News Stories.
- Learn about Cause and Effect relationships.
- Practice techniques for Cooperative Human Scenery and Props and use Cooperative Human Scenery and Props to enhance your Skit.
- Create a 5-minute Improvisational Skit about the Cause-and-Effect relationship between two unrelated News Stories.
- Have all your plans suddenly become totally discombobulated by a One-Minute Glitch (OMG)!
Challenge E – Hold It!(Structural) Sponsored by: 3M
Focus: • Architectural & Engineering Design • Structural Engineering • Construction • Innovation and Design Process • Mathematics • Theater Arts • Teamwork
Your team will:
- Design, build and test a Structure made entirely out of wood and glue to hold weight and contain Tournament-provided golf balls.
- Design and build a Delivery Device that will deposit the golf balls, one at a time, into the Structure.
- Create and present an original story about a “Captivator.”
- Integrate the Weight Placement and Golf Ball Delivery into the Story.
projectOUTREACH® – The World Canvas (Service Learning) Sponsored by: MAE
Focus: • Learning • Marketing • Partnerships • Fundraising • Progress Monitoring • Evaluation • Teamwork • Communication • Creativity • Critical Thinking
Your team will:
- Use creative problem solving tools to identify and select at least one real community need.
- Design and carry out a Project to address the need.
- Create an Advertisement and use it in your Project.
- Create a Marketing Brochure to describe your Project.
- Share your Project at the Tournament with an entertaining live Presentation.
Rising Stars!® – Built to Last (non-competitive)
Focus: • Toy History • Research • Storytelling • Performing in Front of an Audience • Team Problem Solving • Teamwork • Creativity • Collaboration • Communication
Calling our youngest creative problem solvers! Designed for 4- to 7-year-old kids, Built to Last asks your team to:
- Learn about toys and how they have changed over time.
- Create a play about making the best toy that will ever be made.
- Explore how your team works together to make decisions about your team created toy.
Instant Challenge: (Required for all teams)
Instant Challenges require your team to engage in quick critical thinking. At a Tournament, your team will receive an Instant Challenge and the materials with which to solve it. Team members must think on their feet by applying appropriate skills to produce a solution in a period of just five to eight minutes. Instant Challenges provide an exciting, impromptu creative experience for your team!
APPRAISER – Please bring ONE copy of this form with you to Appraiser Training.
IOWA Destination ImagiNation 2012
APPRAISER AGREEMENT
(Does not apply to non-competitive Rising Stars!®volunteers)
The Appraiser should answer the following questions and reserve these dates.
(Please NEATLY print or type Appraiser’s name)
DI TEAM NUMBER: / 112-DI TEAM NAME:
I agree to represent the above team at the Sub-state and State Tournaments:
Sub-state Tournament in Ames on March 3, 2012
State Tournament in Ames on April 14, 2012
University level teams compete only at the State Tournament. However, university level teams must provide an Appraiserthat will appraise at the Sub-state Tournament also. Failure to provide an Appraiser for the Sub-stateTournament will disqualify the team from competing at the State Tournament.
Check ONE of the following:
I understand that for the team I represent to perform at the Sub-state and State Tournaments I must appraise at both Tournaments.
If the team I represent is a University Level team I understand that I must serve as an Appraiserat both the Sub-state Tournament and the State Tournament.
______
(Signature of Appraiser)
Rising Stars!®Volunteer – Please MAIL or E-MAIL one copy of this form byFebruary 19, 2012to:
Students for a Creative Iowa
Rising Stars Volunteer
621 7th St
Ames, IA 50010
or
IOWA Destination ImagiNation®2012
RISING STARS!® VOLUNTEER INFORMATION
USECTION 1 -TEAM INFORMATION – Team please complete for your Volunteer
TEAM NAME:DI TEAM NUMBER: / 112-
SUBSTATE TOURNAMENT: / AMES
USECTION 2 –VOLUNTEER INFORMATION
VOLUNTEER NAME:ADDRESS:
CITY/STATE/ZIP:
PHONE(day): / PHONE(evenings):
(please list an e-mail address that is checked regularly)
E-Mail Location: Home School/Business Team Manager’s Coordinator’s
DI Experience: / Appraiser: Yrs / Team Mgr: Yrs / Team Mbr: Yrs / Other: Yrs
Release/Disclaimer
By my participation in an event conducted by an Affiliate, Region or other gathering related to the DestinationImagiNation program, the participant or participant's parents or participant's guardian understands and hereby voluntarily agrees to release, waive, forever discharge, hold harmless, defend and indemnify Destination Imagination Inc., and their agents, officers, boards, volunteers, and employees from any and all liability and all claims, actions, or losses for bodily injury, property damage, wrongful death, loss of services , or otherwise which may arise out of the participant's participation in activities related to the DestinationImagiNation event, including travel to and from the event.
Page 1
Are you a graduating high school senior or have you already graduated?
Did you participate in Destination ImagiNation® in elementary, middle, or high school?
If you answered yes to the above questions, then we would like to invite you to join the Iowa Alumni Members of Destination ImagiNation® or I AM DI. I AM DI is a new organization offered by Students for a Creative Iowa. The goal of I AM DI is to help alumni stay connected and to encourage volunteering at future DI events. Without volunteers, DI and cre8iowa events could not happen, preventing future students from the opportunity to participate in DI. We encourage all our alumni to volunteer, but volunteering is not a requirement to join this new organization.
To join or to receive more information, please fill out the bottom portion and return to registration table at Tournament, by email at , or by mail to 15 Golfview Ct., North Liberty, IA 52317.
Sincerely,
Alisha Heisterkamp
I AM DI Coordinator
Name:Address:
City/State/Zip:
Email:
Phone:
Interested in joining? / Y N / Interested in more information? / Y N
Number of years participated:
Challenges participated in:
Favorite DI memory:
Note: Please provide valid information and a permanent address, so we can contact you. Thank you!