• KETTERING CHILDRENS CHOIR

    SINGER REGISTRATION & MEDICAL RELEASE
  • Please complete this form to ensure your 2022-2023 place in the choir.

    Please note that your registration is not complete until full payment has been submitted. This fee can be applied towards KCC tuition for the 2022-2023 season, should the singer return to the KCC/audition successfully.

    Registration will close on July 31, 2022, or when 200 singers have registered (whichever comes first!). To register, please submit this completed form and payment (checks made payable to Kettering Children’s Choir) to:

    Kettering Children Choir
    P.O. Box 292202
    Kettering, OH 45429

    Or preferred payment is online

    https://form.jotform.com/201526946201146

     

  • Diversity: The KCC applies for grants throughout the year to supplement our income to support different projects. Several of these grants ask questions regarding diversity. We ask that you write what you feel appropriate based on your childs diverse background to help us characterize our choir.

  • Parent/Guardian/Singer and Additional Contact Information

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  • Emergency Information

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  • Medical Release and Authorization

    In the unlikely event that my child becomes ill or is injured, and I, or the authorized physician named, cannot be immediately contacted at the time of an emergency, and if in the judgment of the staff of the Kettering Children’s Choir immediate observation or treatment is necessary, I authorize and direct the staff to send my child (properly accompanied) to the hospital or physician most easily accessible.  I release the Kettering Children’s Choir, their employees, and agents from any claim of liability in connections therewith.

  • PHOTOGRAPHIC RELEASE

    The undersigned agrees without compensation to permit The Kettering
    Children’s Choir, its agents, assignees and employees to use photographic
    images or likenesses of the below listed singer(s) for use and benefit of
    The Kettering Children’s Choir in its publications and other organizational
    development and promotional programs. This release shall continue in
    force until specifically revoked.

  • Commitment Statement

    WE UNDERSTAND THAT THE SINGER IS MAKING A FULL-YEAR COMMITMENT AND AGREE TO PARTICIPATE FOR THE ENTIRE SEASON. WE ALSO UNDERSTAND THAT WE ARE MAKING A FINANCIAL COMMITMENT FOR THE COMPLETE TUITION RATE, WHICH IS NON-REFUNDABLE. 

    Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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