Registration – The St. Margaret's Youth Choir

Name of Registrant *

First

Last

Age at start of program *

Must be 8 years of age by the end of the calendar year.

Birthdate *

Would you like to register a second participant?

Name of Second Registrant

First

Last

Age at start of program

Must be 8 years of age by the end of the calendar year.

Birthdate of Second Registrant

Would you like to register a third participant?

Name of Third Registrant

First

Last

Age at start of program

Must be 8 years of age by the end of the calendar year.

Birthdate of Third Registrant

Would you like to register a fourth participant?

Name of Fourth Registrant

First

Last

Age at start of program

Must be 8 years of age by the end of the calendar year.

Birthdate of Fourth Registrant

Parent/Guardian Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Second Parent/Guardian Name (optional)

First

Last

Phone (of second parent/guardian)

Emergency Contact *

First Parent/Guardian
Second Parent/Guardian
Additional Contact

If an additional contact is to serve as the emergency contact, please supply the contact details below.

Additional Emergency Contact

First

Last

Phone (of additional contact)

Participant's Allergies

There may be occasions when snacks or food will be served at rehearsal. Please list any relevant allergies of your participant(s), indicating explicitly which participants have which allergies.

Additional Information

Please provide any additional information about your participant(s) that would be relevant for the program leaders to know.

Photo/Video Waiver *

I hereby give my consent for photos or videos of the participant(s) to be used for informational or promotional purposes on STMYC’s website or social media.
I do not give my consent.

From time to time we may wish to use photos or videos of the choir and/or individuals in it for informational or promotional purposes on our website or social media. Note that the names of the individuals will never be published without our seeking additional, explicit consent for that to be done.

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