La Crosse Girlchoir
La Crosse, WI 54602
Spring Semester 2017 Registration Form
To keep our records current, all families are asked to complete the entire
registration form. Please print clearly.
Choir Member’s Name ____________________________________________________________________
Choir Member’s Birthdate _________________________________________________________________
Choir Member’s School and Grade __________________________________________________________
Parent/Guardian Name(s) _________________________________________________________________
Phone Number(s) ________________________________________________________________________
*please indicate type of number, ie: cell, home, work, names of what number belongs to whom
Home Address __________________________________________________________________________
Email Address ___________________________________________________________________________
Best way to be contacted 1hr. prior to rehearsal _______________________________________________
Emergency Contact Name _________________________________________________________________
Emergency Contact Phone Number _________________________________________________________
Emergency Contact Relationship to Choir Member _____________________________________________
At the end of the 3rd, 5th, and 7th year in choir, members are awarded a charm to recognize their commitment.
This will be my daughter’s _________ semester in the choir.
Photo/Video Release - I hereby give permission for images of my child, captured during regular and special La Crosse Girlchoir events and activities through video, photo and digital camera, to be used solely for the purposes of the La Crosse Girlchoir promotional material, publications, internet website, newspaper articles, and waive any rights of compensation or ownership thereto. My signature verifies my consent.
Parent/Guardian Signature ________________________________________________________________
Registration and payment should be turned in at rehearsal or submitted to:
La Crosse Girlchoir, P.O. Box 2403, La Crosse, WI 54602
Please note that tuition needs to be paid in full by the concert performance,
or a late fee of $15 will be assessed.
Any payment questions can be directed to: firstname.lastname@example.org
✽✽The registration fee for Girlchoir is 50% of your semester tuition ($100.00/$125.00).
The remainder of the tuition will be due by April 25th.✽✽