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ComMUSICation 2021-2022 Registration Form
Thank you so much for your interest in CMC's music programs summer 2022! Performance Choir will meet Tuesdays, Wednesdays, Thursdays July 19 through August 4 at Rondo Library in St. Paul. In certain circumstances, ComMUSICation is able to provide transportation to and from our site for youth registering for Performance Choir. Please fill out this registration form to sign up for programs and provide us with some helpful information! Questions about our programs? Our Music Director, Carey Shunskis (music@cmcmn.org) would love to tell you more about them.
What program are you signing up for?
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CMC SUMMER Performance Choir (Tuesdays, Wednesdays, Thursdays 3:30-5pm): Open to youth entering grades 4-8. Love to sing, create, and perform? In Performance Choir, you'll sing songs from around the world in all different styles, create original music and art, make new friends, and perform in amazing spaces around Minnesota and beyond! Choir is CMC's longest running program and you can beat the heat this summer with central AC at Rondo Library.
Full Name of Youth Participant
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Date of Birth
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-
Month
-
Day
Year
Date
What school do you attend?
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What grade will you be in this year? (ex. Going into 4th grade = 4th)
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Race/Ethnicity
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American Indian/ Alaska Native
Asian
Black/ African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White or Caucasian
Multiracial
Other
Ethnicity Subcategory (Optional - eg. Hmong, Karen, Oromo, Somali, etc.)
Gender
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Female
Male
Transgender and/or non-binary
Home Address (Street Address, City, State, and Zip Code)
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Phone Number
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Email Address
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What is the best way to contact you?
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Phone call to the number listed above
Text the number listed above
Email to the address above
Do you qualify for free or reduced lunch?
Yes
No
What language(s) do you speak at home?
Are there any accommodations that would be helpful for your participation in our programs (including learning accommodations, individualized attention, technological needs, etc.)?
Full Name of Parent/Guardian
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Relationship to Youth Participant (eg. parent, grandparent, etc.)
Emergency Contact Information: Please provide a name and phone number, as well as any other information that you think would be helpful to us in an emergency.
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Medical Conditions: Please list any medical conditions that we should be made aware of, including allergies and any specialized medications.
T Shirt Size: In many of our programs, we provide ComMUSICation t-shirts to youth participants. Please indicate your preferred t-shirt size below.
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XS Youth
S Youth
M Youth
L Youth
S Adult
M Adult
L Adult
XL Adult
Transportation
In certain circumstances, ComMUSICation is able to provide transportation to and from our site for youth registering for Performance Choir. Pickups in the summer generally occur between 2:30-3:15. If you request transportation, someone from CMC will contact you and verify that our current route can be modified to accommodate your request.
I would like to request transportation to and from Performance Choir
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Yes
No
Preferred PICKUP site (eg. name of school or address of home)
What time are you available for PICKUP from the site entered above? Please enter a range, eg. 2:30-3:00.
Preferred DROPOFF site (eg. name of school or address of home)
Transportation Release
ComMUSICation will be providing transportation through a contract with the nonprofit NewTrax. Newtrax is a 501(c)3 transportation nonprofit that provides transportation services for adults with disabilities, employer/corporate groups, faith communities, and health clinics.All NewTrax drivers pass a rigorous background check, receive “defensive driving” training and are CPR certified. ComMUSICation may share family contact information with NewTrax in order to facilitate pickups/dropoffs or in case of emergency. As a condition of transportation by ComMUSICation’s partner NewTrax, I understand and agree that: I will not hold ComMUSICation responsible for any harm or loss that may occur to my child before, during, or as a result of this transportation or release, including but not limited to, accidents, injuries, or theft; I will be responsible for, and will save ComMUSICation harmless from any claims by others for any loss, cost, or expense arising out of harm or loss that may occur to my child as a result of the transportation or release; andIn an emergency, I hereby give permission to licensed medical providers selected by ComMUSICation to hospitalize, secure proper treatment, anesthesia, or surgery for my child at any expense.
Please type your full name below to e-sign the transportation release form.
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Photo/Video Release
There may be times when ComMUSICation (CMC) staff, the media, or other organizations, with the approval of the Executive Director, may take photographs of students, audio/videotape students, record concerts, or interview students for CMC-related promotional or fundraising materials in a way that may individually identify a specific student (including their first name). Therefore, we ask that you sign the following release: I grant to ComMUSICation, its staff and agents, permission to use my child’s photographs and/or videotaped images and words for the purposes mentioned above. I understand and agree that CMC may use these photos and/or videotaped images in subsequent years unless I revoke this authorization by notifying the Executive Director in writing. Furthermore, I hereby consent that such photographs, films, recordings, projects, and tapes are the property of CMC, and they shall have the right to distribute, duplicate, reproduce, and make other uses of them as they wish, free and clear of any claim whatsoever on my part. I understand that if I would like to opt out this, I must speak directly to the Music Director or another Teaching Artist before the start of the activity.
Please type your full name below to e-sign the photo/video release form.
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COVID Policy
ComMUSICation will be sending out a welcome packet to all families, including additional information about our COVID precautions and requirements. All program staff age 18 and older will be vaccinated. We ask all participants to wear masks in the space, to remain socially distanced, and we ask families to report any illnesses immediately. Please note that our policies may change over time, as federal and state guidelines shift, and we will communicate any changes to families in a timely manner.
Please type your full name below to e-sign the COVID Policy and indicate that you intend to comply with any safety regulations set forth by ComMUSICation
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Support CMC
All of our programming is offered free of cost. CMC’s sustainability depends on our community’s many contributions: family participation, volunteer assistance, and financial support. If you are in a position to do so, please consider a making a contribution to support our programs by visiting cmcmn.org/donate.
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