2024-25 PYC Registration Form

Parent/Guardian Information
NOTE: For purposes of this form, the Primary Parent/Guardian is the first person to be contacted in case of emergency and/or any PYC-related communications.
Primary Parent/Guardian*

First NameLast Name
Relationship to PYC Member:*
Mother/Father/Grandparent/Other
Primary Parent/Guardian E-mail:*
Required for weekly notifications
Primary Parent/Guardian Cell Phone Number:*
Primary Parent/Guardian Employer:
Primary Parent/Guardian Job Title:
Primary Parent/Guardian Work Phone Number:
(###) ###-####
Second Parent/Guardian

First NameLast Name
Second Parent/Guardian Relationship to PYC Member:
Mother/Father/Grandparent/Other
Second Parent/Guardian Email:
example@example.com
Second Parent/Guardian Cell Phone Number:
(###) ###-####
Second Parent/Guardian Employer:
Second Parent/Guardian Job Title:
Second Parent/Guardian Work Phone Number:
(###) ###-####
Second Parent/Guardian Residence:

Secondary Parent/Guardian resides with Primary Parent/Guardian.Secondary Parent/Guardian resides at an alternate address.
Second Parent/Guardian's Alternate Address:

Street Address

Street Address Line 2

CityState

Zip Code
BILLING CONTACT

For purposes of this form, the billing contact is the person responsible for handling tuition invoices and making sure they are paid in a timely manner. PYC invoices will be distributed via e-mail, so it is important that you enter at least one (1) valid e-mail address. If you would like to enter multiple e-mail addresses, please separate them with a comma and no spaces (i.e., max@example.com,babou@example.com,etc@example.com).
Billing Contact First Name:*
Billing Contact Last Name:*
Billing Contact E-mail Address:*
EMERGENCY CONTACT

In the event that we cannot reach the primary or secondary guardian in the case of an emergency, event, or transportation issue throughout the season, please provide us with one additional emergency contact as a back-up.
Emergency Contact (Cannot be Primary or Secondary Parent/Guardian):*

First NameLast Name
Relationship to PYC Member*
Day Phone Number:*
Evening Phone Number:*
School Info
Which of the following applies to the PYC singer?*

Attends public schoolAttends private schoolHomeschooled
School Name for 2024-2025 School Year:*
If homeschooled, please write Homeschool.
Singer's School District for 2024-2025 school year:
If homeschooled, please indicate the school district in with you reside.
If you indicated "Other" for School District, please clarify below.
Name of School Choir/Music Teacher:
School Choir/Music Teacher's Email Address:
example@example.com
Will the PYC Singer be participating in any of the following at your school during the 2024-2025 School Year? (Please check all that apply)*

School ChoirMusical TheatreOtherNo current plans to participate in a school musical activity
If you checked "Other," please explain here.

0/150

Signatures and Print/Submit
Do you have any additional questions or comments for PYC?
SIGNATURES

By signing below, we agree to all of the terms and conditions outlined herein, including but not limited to the information and permissions granted on the Student Health & Medical Information page, as well as the Membership Agreement page.

We will join with the entire Pittsburgh Youth Chorus' staff in making this upcoming season the most successful and challenging musical experience possible.

The below individuals agree that his or her electronic signatures included in this form are intended to authenticate this writing and to have the same force and effect as a manual signature.

Agreed and Accepted as of today's date with the intention of being legally bound:
Date of Submission

MonthDayYear
PYC Singer Name*

First NameMiddle NameLast Name
PYC Singer Signature

Clear
Parent/Guardian Name

First NameLast Name
Parent/Guardian Signature

Clear
ALMOST DONE!
- CHECK: Please take a moment to double-check each page of the form for accuracy. To ensure there are no fields empty, check the bottom of each tab for the phrase "There are errors on this page," and/or orange alerts on the page identifying empty required fields. Please note that there are many fields which are required, so do not leave a field blank. If the field does not apply to you, please enter N/A.
- PRINT: Feel free to print this completed form for your records using the button below, which will include all pages, the text of the agreements you signed, etc. Please note that you will not be able to print after your submission is complete. However, if you need a copy of your signed form, please contact PYC staff, and we will be happy to assist you.
- SUBMIT: The form will first perform an error check and take you to any fields that need to be corrected prior to submission. If you make any major changes at this point, you may decide you would like to re-print this form. Confirmation of your submission will be sent to the e-mail address of the PRIMARY PARENT/GUARDIAN you listed on this form. Check your spam filter if you do not receive it.
- TUITION FEES: Upon submitting this form, you will be directed to a payment page. Please note that your registration will not be complete until the tuition down payment is made. Tuition payment is required within 15 days of completing this form. If you prefer paying by check, please make it payable to Pittsburgh Youth Chorus and mail it to: 212 9th St. Ste. 601, Pittsburgh, PA 15222.
If you have any questions, please contact PYC Staff
at (412) 281-4790 or info@pittsburghyouthchorus.org
Type a question
Should be Empty: