Chorister Details:
Child Full Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
School
*
Grade
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Information & Emergency Contacts
Parent/Guardian 1 Name
*
First Name
Last Name
Parent/Guardian 1 Phone Number
*
Parent/Guardian 1 E-mail
*
example@example.com
Parent/Guardian 2 Name
First Name
Last Name
Parent/Guardian 2 Phone Number
Please enter a valid phone number.
Parent/Guardian 2 Email
example@example.com
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
My chorister's doctor is
*
First Name
Last Name
Doctor phone Number
Please enter a valid phone number.
Communication
The CSCA uses email as its primary method of communicating with families. The Parent/Guardian emails listed above will be used. Please indicate any additional email addresses you would like to be used for CSCA communications.
Does the Church Street Choral Academy have permission to share contact information for parents / guardians in the password protected members section of the website? Names, phone numbers, addresses, email addresses and chorister name and school will be shared in an effort to enable communication between parents of choristers.
*
Yes
No
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Chorister Information
Tshirt/polo shirt size
*
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Does your chorister have any allergies or dietary restrictions?
*
Does your chorister have any special learning or behavior needs (i.e. dyslexia, ADHD, sensory processing issues, etc.)
*
My chorister is currently taking the following medications:
*
Please share information about your chorister's academics - what are their favorite/least favorite subjects? What is easiest/hardest about school for them? Do they learn better by reading, listening, or doing?
*
This information will help us match mentoring and tutoring needs and gives us an idea of how we can structure rehearsals or classes to best help your student grow musically.
Tell us about your chorister's musical background? Have they sung in school, church, or other choirs? Do they play any instruments?
*
Choristers do not need to have participated in their school, church, or other choir or have any musical training; this will help us match your child to the appropriate piano lessons and give us an idea of how to structure rehearsals.
Please list any siblings and their ages.
Name
Age
1
2
Are there other people you know we should invite to join the CSCA?
Child's Name
Age/grade if known
Parent/Guardian Name
Contact info
1
2
Is there any other information about your chorister that you would like to share?
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Medical and Liability Release
By typing in my name to this question, I hereby give permission for the child I am registering to participate in Church Street Choral Academy/Christ Church sponsored activities for the period of 10/1/2023 through 6/30/2024. I further agree to hold harmless Church Street Choral Academy/Christ Church, its officers, directors, agents, and employees from and against any claims, actions, or causes of action whatsoever for participation in activities with Church Street Choral Academy/Christ Church on and off campus. In the event of an emergency, I hereby authorize Church Street Choral Academy/Christ Church's agent or administrators to take necessary steps to obtain emergency medical care including, but not limited to the following: (1) attempting to contact me at the telephone numbers provided or to contact such other persons as may be designated as an emergency contact; (2) attempting to contact any physician designated; (3) if such contact cannot be reasonably made, and/or if deemed necessary, sponsors agent or administrator is authorized to proceed to procure emergency medical services, including execution of any and all documents, including medical releases, as may be required by any licensed medical facility or physician to perform necessary emergency care on my behalf.
*
I agree.
I do not agree.
Photo Release
I release Church Street Choral Academy/Christ Church to record my/childs likeness, via still photo, video, or audio recordings; for use as promotional material for the organization and/or parish. I understand that these recordings may be edited at the discretion of the organization, and that they may be published in promotional videos, brochures, and website. I hereby waive all rights to compensation for the use of these recordings.
*
I agree.
I do not agree.
Submit
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