ComMUSICation 2021-2022 Registration Form
Thank you so much for your interest in CMC's music programs this school year! All of our programs will take place in person at 868 Sherburne Ave., Saint Paul, MN. 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 (email@example.com) would love to tell you more about them. Questions about this form or program payments? Don't hesitate to send a message to our Operations Director, Kevin Kalla (firstname.lastname@example.org).
What program are you signing up for?
CMC Performance Choir (Tuesdays, Wednesdays, Thursdays 4-5:30pm): Open to youth entering grades 4-9. 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.
Crescendo (Thursdays 3-3:45pm): For youth grades 1-3 who love music! You will sing, move, play instruments and more in this class.
Full Name of Youth Participant
Date of Birth
What school do you attend?
What grade are you in?
American Indian/ Alaska Native
Black/ African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White or Caucasian
Ethnicity Subcategory (Optional - eg. Hmong, Karen, Oromo, Somali, etc.)
Transgender and/or non-binary
Home Address (Street Address, City, State, and Zip Code)
What is the best way to contact you?
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?
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
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.
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.
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
We will be sending out information about program payments and scholarships soon! CMC uses a pay-what-you-can model to help sustain our programs. Our Standard registration is $20 per month, but we also offer a Subsidized rate ($10) as well as full scholarships with no documentation required. If you are in a position to do so, please consider a Sponsored registration rate ($40) that will help support an additional singer's involvement in high quality music programming!
I would like to ...
Support CMC programs through a monthly contribution (you will be able to choose your rate later)
Request a full scholarship
I already support CMC through a monthly contribution
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform