RCCC Choir Registration 2023 Spring

Rapid City Children's Chorus 2023
Rapid City Children's Chorus

Registration
Singer's Name*

First NameLast Name
*

MaleFemale
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
OK to send text
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*

Youth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large
Please Select an Option*

I am sending a registration check to RCCC, PO Box 1528, RC, 57709I am paying the registration fee through Paypal.I am making my registration deposit but wish to apply for tuition assistanceI 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:*
Should be Empty:

Now create your own Jotform - It's free!Create your own Jotform

Rapid City Children's Chorus 2023