RCCC Camerata Registration Grade 4

Rapid City Children's Chorus 2020-21
Rapid City Children's Chorus

Camerata Registration
Singer's Name *

First Name Last Name
*

Male Female
Select One *

Camerata
School 2020-21 *
Grade 2020-21 *
Parent/Guardian E-mail
Parent/Guardian Emergency Phone # *

Area Code Phone Number
Singer's Birth Date *

Month Day Year
Parent/Guardian Names *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent/Guardian Primary Phone # *

Area Code Phone Number
OK to send text
Parent/Guardian cell phone #

Area Code Phone Number
Additional Parent/Guardian Name

First Name Last Name
Additional Parent/Guardian E-mail
Additional Parent/Guardian Primary Phone #

Area Code Phone Number
Addtional Parent/Guardian Emergency Phone #

Area Code Phone Number
T-shirt Size *

Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large
Please Select an Option *

I am sending a registration check to RCCC, PO Box 1528, RC, 57709 I am paying the registration fee through Paypal. I am making my registration deposit but wish to apply for tuition assistance I am paying the full tuition with paypal. I am sending a check for full tuition.
As parent or guardian of the above chorister, I hereby accept the conditions of enrollment and give permission for my child to participate in the Rapid City Children's Chorus and all activities sponsored by the RCCC. I agree to comply with all program regulations and hereby remove the Rapid City Children's Chorus and all representatives from any and all liability for injury or damages incurred while involved in this program. I also, hereby, give my consent for my child to be audio recorded, photographed and videotaped for promotional or informational materials, press media, and the RCCC web page, in connection with his/her participation in the RCCC program. I understand that the choristers will not be identified by name. Electronically sign this form by entering your initials here: *
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Rapid City Children's Chorus 2020-21