Burstin' with Broadway sample sign up form
2015-16 registration form.
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Basic Info
First name *
Middle initial
Last name *
Gender *
Voice part *
Contact info
Street address
City
Province
Postal code
Home phone
Cell phone
Work phone
Primary email
Secondary email
Membership Fees
Choose one of the following payment plans and enclose all appropriate fees with registration *
Other Costs
There are no additional mandatory costs.

Whistler Retreat November 20th-22nd – Out of Town (optional but great fun!): approximate cost $250 (for accommodation and
workshop/events) based on shared accommodation.
Method of Payment
Cheque(s), Money Order(s): must be enclosed with application and payable to Burstin with Broadway.

Payment can also be arranged through PayPal.
Applicant’s Agreement
I have reviewed the calendar of events for the year included in the Registration Package and by registering, make a commitment to attend regularly to the best of my ability and abide by the attendance and refund policy as posted on www.burtinwithbroadway.com and below.
Type your full name to digitally sign this agreement *
Privacy Policy
Burstin With Broadway collects the above information to registration purposes only. The information is used to compile a listing of choir members, phone numbers, e-mail addresses, and is not shared with any outside groups. This listing is provided to each member of the choir in order to allow members to contact one another and the list is ONLY for choir business. Members’ names are published in printed programmes as well. Registration is express agreement to allow images and recordings of individuals and groups to be broadcast on such media as is appropriate to the promotion of Burstin With Broadway unless choir member submits a written letter expressing his/her objection to having photos published.
Refund Policy
Withdrawal prior to Oct. 6th, 2015: Full refund less $140 (non-refundable registration fee of $100 plus $40 music fee) if music is returned without any marking and in new condition no later than Oct. 6th, 2015 rehearsal you will be refunded the music fee. Fees are non-refundable for any withdrawals after Oct. 6th, 2015. Withdrawals must be communicated by email to claudia@burstinwithbroadway.com before the cut-off date.
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