CHOIR REGISTRATION

Please provide the following contact information:

Check here if you are a returning choir member
Check here if you would like to schedule an audition
Full Name
Name Called
Age
Date of Birth
Street Address
City
State
Zip Code
County
Home Phone
Mobile Phone

T-shirt size
Grade
School
School Music Teacher
School Phone
Father's Name
Employer
Position
Office Phone
Personal E-mail
Office E-mail
Does your employer participate in matching gift programs? Yes      No
Does your employer have a foundation?  Yes      No
Mother's Name
Employer
Position
Office Phone
Personal E-mail
Office E-mail
Does your employer participate in matching gift programs? Yes      No
Does your employer have a foundation?  Yes      No
Other children in household:
Number and Ages
Does your child participate in school music programs Chorus Band
How Long?
If band, what instrument does he/she play?
Has your child had any previous musical training? Yes      No
If so, please elaborate
Does anyone else in the family play a musical instrument? Yes      No
Would you consider being a parent volunteer? Yes      No
Are there any medical concerns we should know about concerning your child?
In case of emergency I would like for TAE to contact:
Name
Street Address
City
State
Zip Code
Phone
Relationship to child

In case of medical emergency, when neither parent can be located
Your relationship to child
First choice Doctor name and phone number
Second choice Doctor name and phone number
Does your child have a friend who would like to participate? Give us their name and email address
Friend #2
Friend #3
I will Mail my payment    Pay online

Once you click submit, you will be taken to a secure page to pay your $30.00 choir registration fee. There will be a $3.00 handling fee on all registrations if you pay online.

If you are sending payment via mail, please print this form and send it with your check for $30.00 to:

The Arts Experience
PO Box 584
Concord, NC 28026

  


11 Union Street, Suite 106, P.O. Box 584, Concord, NC 28026 * 704.795.2787 * info@artsexperience.org
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