ComMUSICation Registration

ComMUSICation Registration Form
Love to sing, create, and perform?
Find your voice with ComMUSICation!

Our ensemble-based programs focus on using music as a tool for connection and community. We will learn a variety of youth-selected repertoire and will perform at community events and go on field trips. Come lend your voice to our group and help us showcase the power of music and arts to our communities!

We provide snack and/or dinner for all of our on-site programs. In many circumstances, ComMUSICation is able to provide transportation to and from our site, which is located in the Frogtown neighborhood at 868 Sherburne Avenue.

Questions about our programs? Visit our website or contact our Music and Program Director, Carey Shunskis, at 651-243-8962 ext. 1 or music@cmcmn.org.
What program are you registering for?*

Performance Choir: Open to youth in grades 4-8. Meets Tuesdays, Wednesdays, and Thursday from 4:30-6pm. School year program begins September 19.High School Choir: Open to youth in grades 9-12. Meets Thursdays from 6-8pm. School year program begins September 28.
Full Name of Youth Participant*
Date of Birth*

MonthDayYear
Date
What school do you attend?*
What grade are in?*
Race/Ethnicity*

American Indian/ Alaska NativeAsianBlack/ African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhite or CaucasianMultiracialOther
Ethnicity Subcategory (Optional - eg. Hmong, Karen, Oromo, Somali, etc.)
Gender*

FemaleMaleTransgender and/or non-binaryOther
Home Address (Street Address, City, State, and Zip Code)*
Phone Number*
Email Address*
You may receive monthly updates, but can opt out at any time
Do you qualify for free or reduced lunch?

YesNo
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*
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.*
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. "Youth" sizes are typical for elementary-aged youth.*

XS YouthS YouthM YouthL YouthS AdultM AdultL AdultXL Adult2XL Adult3XL AdultOther
Transportation

In certain circumstances, ComMUSICation is able to provide transportation to and from our site for youth registering for programs. Pickups for Performance Choir (grades 4-8) typically occur from 2:30-3:45, and pickups for High School Choir (grades 9-12) typically take place between 4:15-5:45. 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 program*

YesNo
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. 2-2:50pm).
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; and in 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.*
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).
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 & Program 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.*
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 families to report any illnesses immediately and stay home if they are sick. 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
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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ComMUSICation Registration Form

Transportation

Transportation Release

Photo/Video Release

COVID Policy

Support CMC