Pacific Opera Project - Youth Chorus Registration Form

Parent/Guardian Information
Name*

First NameLast Name
Cellphone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Alt. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Additional Parent or Guardian Name

First NameLast Name
Cellphone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alt. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

Emergency Information
Name*

First NameLast Name
Relationship to child*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Alt. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Emergency Contact

First NameLast Name
Relationship to child
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alt. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does this child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the child prescribed an inhaler or EpiPen? If yes, please explain.
Do you have any other important information about your child that you would like to share?
Ex: Other medical needs, important behavioral traits, IEPs, stressors, details on gender identity/expression, important information in the event of an emergency, etc.

POP Youth Chorus Consent Forms
Minor (Child) Photo and Video Release Consent: I, as the parent or legal guardian of this child grant Pacific Opera Project Inc. my permission to use photographs and videos described as social media, website, and promotional material for any legal use, including but not limited to publicity, advertising, and web content, YouTube livestreams, and archival footage. Furthermore, I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.*

Yes, I consent.
Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Pacific Opera Project, Inc. during this activity. In exchange for the acceptance of said child’s candidacy by Pacific Opera Project, Inc., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Pacific Opera Project, Inc. and all its respective staff members, volunteers and representatives from any and all liability for injuries to said child arising out program sessions. In case of injury to said child, I hereby waive all claims against Pacific Opera Project, Inc. including all staff, volunteers, affiliates, participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. I understand that this activity poses a small risk of injury to participants.
Medical Release and Authorization As Parent and/or Guardian of the named minor child, I hereby authorize that in the event of a medical emergency that requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, undue pain, or suffering or discomfort, Pacific Opera Project Inc., may contact emergency services. This authorization is granted only after a reasonable effort has been made to reach me and the named emergency contact(s) by Pacific Opera Project, Inc. I understand that Pacific Opera Project, Inc. staff contain only a basic knowledge of first aid, and are not certified to diagnose or treat any participating minors. Release of the minor child's basic medical information to a medical professional in the event of a serious illness or injury is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence. In the event of an emergency arising out of serious illness or significant accidental injury, I understand that every attempt will be made by the medical team to contact me in the most expeditious way possible.
Signature*

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Program Schedule - 2025
Pagliacci Rehearsals	August 9th	10:00 AM - 12:00 PM
	August 16th	10:00 AM - 12:00 PM
	August 20th	7:00 PM - 9:00 PM
	August 24th	4:00 PM - 7:30 PM
	August 30th	2:00 PM - 5:00 PM
	August 31st	7:00 PM - 10:00 PM
Pagliacci Dress Rehearsals	September 2nd	6:00 PM - 9:15 PM
Pagliacci Dress Rehearsals	September 3rd	6:00 PM - 9:30 PM
Pagliacci Shows	September 5th-7th	6:30 PM - 9:15 PM
Pagliacci Shows	September 12th-14th	6:30 PM - 9:15 PM
Winter Break Masterclass and Workshop	January 9th-10th, 2026	10:00 AM - 5:00 PM

Youth Chorus Registration Form

Participating Child's Information

Parent/Guardian Information

Emergency Information

POP Youth Chorus Consent Forms