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Mountain Song Youth
We’re so excited you’re here to sing with us!
Step1
Step2
What location are you registering for?
Cranbrook Curling Club
Kimberley Shared Ministry
What session length do you want to register for?
*
Full Year – Sept to April
First Half – Sept to Dec
Second Half – Jan to April
Important Info
You are registering for:
You allow us to use image or video of the registered singer for the purposes of promoting Mountain Song.
No
Yes
Singer Information
Singer First Name
*
Singer Last Name
*
Email (primary)
*
We will use this email for communications from the choir.
Grade 4
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade in September of this Year
*
Birthdate
*
Relevant Medical Information
*
Primary Parent/Guardian Information
First Name (Primary)
*
Primary/Parent Guardian First Name
Last Name (Primary)
*
Relationship to Child (primary)
*
Primary Parent/Guardian Contact Info
Primary Cell Phone
*
Primary Alternate Phone
Also Emergency Contact?
No
Yes
This person will also be the PRIMARY emergency contact.
Emergency Contacts
Primary Emergency Contact
First Name (EM1)
*
Last Name (EM1)
*
Relationship (EM1)
*
Cell Phone (EM1)
*
Alternate Phone (EM1)
Secondary Emergency Contact
First Name (EM2)
*
Last Name (EM2)
*
Relationship (EM2)
*
Cell Phone (EM2)
*
Alternate Phone (EM2)
Pick up from Choir
Besides for the contacts listed on this registration, who else has permission to pick your child up?
*
Payment
Fees due
We prefer e-transfer, however you can choose how you would like to pay:
*
Online using Credit Card or Visa Debit
Interac e-Transfer
Cash or Cheque
Payment Instructions Section
Payment Instructions
If you have a second…
How did you hear about us?
Facebook
Current Member
Former Member
Mountain Song Parent
Mountain Song Website
Radio
Other
Enter how you learned about us
Why are you joining a choir? What do you hope for in a choir?
What is the music experience of the person registering?
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