RCCC Choir Registration 2023 Spring

Rapid City Children's Chorus

Registration

Singer's Name

First NameLast Name

School 2023

Grade 2023

Parent/Guardian E-mail

Parent/Guardian Emergency Phone #

Area CodePhone Number

Singer's Birth Date

MonthDayYear

Parent/Guardian Names

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent/Guardian Primary Phone #

Area CodePhone Number

Parent/Guardian cell phone #

Area CodePhone Number

Additional Parent/Guardian Name

First NameLast Name

Additional Parent/Guardian E-mail

Additional Parent/Guardian Primary Phone #

Area CodePhone Number

Addtional Parent/Guardian Emergency Phone #

Area CodePhone Number

T-shirt Size

Please Select an Option

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:

Rapid City Children's Chorus 2023