Excelsior Voices Choir Camp Registration Form

Excelsior Voices Choir 2025-2026 Season Registration Form

We are a community youth choir program in Prince William County for middle school and high school singers, under the direction of Kelli Pierson. We have fun as we build friendships with singers from many schools, sing a wide variety of music and bring joy to the community. We are ideal for singers who want more singing in their life! Our youth choir is for any interested singer in 6th-12th grade. Rehearsals will include a path to music literacy. Repertoire will be tailored to the interests and abilities of the singers. No audition necessary. (The Chamber Choir is an auditioned honor choir level group for singers 6th-12th grade. Auditions for this group will be held in the fall. Singers will be expected to sight read music.The chamber auditioned group will only be made available upon enrollment.)
Parent/Guardian Information
Primary Parent/Guardian Name*

First NameLast Name
Primary Parent/Guardian Email*
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Primary Parent/Guardian Phone*
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Secondary Parent/Guardian Name

First NameLast Name
Second Parent/Guardian Email
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Second Parent/Guardian Phone Number
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Emergency Contact Name (please list someone different than listed above)

First NameLast Name
Emergency Contact Phone Number
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Emergency Contact's Relationship to Student
Student Information
Student's Name*

First Name (this will show on Name Tag)Last Name
Student's Email*
example@example.com
Student's Phone Number
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you interested in a carpool? If so, please describe the neighborhood area that you live.
Which school will your child attend in the fall of 2025? If you homeschool or exclusively participate in virtual learning, please indicate below. *
School Year 2025-2026 Grade Level*
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
What size ADULT t-shirt would you like?

SmallMediumLargeXLXXL
Participant Information Continued
Please select student's voice part. Check all that apply.*

SopranoAltoUnchanged male voiceTenorBassI Don't Know
Please select student's PREFERRED voice part.*

SopranoAltoUnchanged male voiceTenorBassI Don't Know
Did your child participate in Excelsior Voices last year? Choose all that apply.*

Summer CampFall SemesterSpring SemesterNo, they did not.
We are hoping to offer an auditioned chamber ensemble that meets throughout the semester before and/or after our scheduled rehearsal time (likely 6:30-7:00 or 8:30-9PM). This group will have students with mature, choral tone, sight-reading skills, and the ability to sing their part independently. These students would sing in this group in addition to the Excelsior Voices youth choir.

I am not interested in auditioning for the chamber ensemble.I am interested in auditioning, but can only participate if rehearsals are from 6:30-7:00PM.I am interested in auditioning, but can only participate in rehearsals are from 8:30-9PM.I am interested in auditioning, and either time works for me.
If your school has a music program, we require that you participate in a music ensemble at your school in order to participate with Excelsior Voices. Our goal is to come alongside the local school music program to support them, not compete with them! What ensemble did you sing with in 2024-2025, and what is the level of the group? (Beginning un-auditioned, intermediate, advanced)If your school does not have a group, put N/A.
Please use this section to describe the student's singing experience (school choir, church choir, musicals, private lessons, etc.) vocal needs, abilities, other musical instruments, etc. *
Ex: Susie sings in her church choir and Advanced Honors School Choir. She just began taking piano lessons. She would like to improve her upper register. She has participated in community theatre musicals.
Medical/Health/Learning Disabilities- This section is confidential and will only be given to the necessary staff. Mark N/A if it is not applicable.
Please list anything that will be helpful for our staff to know in order to create a positive learning environment. Ex: ADHD, autism, epilepsy, recent surgery
Media Release: The Parent grants permission for Excelsior Voices to photograph or record the Student during rehearsals, performances, and activities for promotional or educational purposes. The Parent understands and agrees that these materials may be used in print, digital media, or social media platforms without compensation.

I Agree
How did you hear about us? Please choose ALL that apply.

I am an Excelsior Voices season memberI attended Summer CampFriend/Family member of a singerI know a staff memberMy music teacherFacebook/InstagramAttended an honor choirHomeschool Facebook pagesI know someone in Excelsior VoicesExcelsior Voices Board memberI am student of the Artistic DirectorEmail ListPrinted marketing materials/flyers
Additional Comments- Please use this section to provide any questions or feedback you may have at this time.
Payment Information
Refund Policy

Through September 15 - Full refund, minus a $25 cancellation fee. September 15-October 15- $100 of the fee is non-refundable. The remaining balance can be donated to Excelsior or refunded. Requests must be made in writing to excelsiorvoices@gmail.com. October 15+ Refunds will be considered on a case-by-case basis.