YOUNG VOICES OF THE CAROLINAS
REGISTRATION FOR CONCERT VOICES - 2019-2020
Congratulations! Your child has been placed in Concert Voices for the 2019-2020 Performance Season
Student’s Name *
Student’s Birthdate *
MM
/
DD
/
YYYY
Student’s Email *
Student’s Cell Phone *
School for 2019-2020 *
Grade *
Parents' Names *
Child lives with *
Mom's Cell Phone *
Dad's Cell Phone *
Street Address *
City, State, Zip *
Primary Email Address *
(This is our main source of communication)
Additional Email Address(es) *
(Separate addresses by commas)
Emergency Contact - Name *
(Other than parents)
Emergency Contact - Phone Number *
Emergency Contact - Relationship to Student *
Release and Indemnity Agreement
The Young Voices of the Carolinas recognizes that some risk may be involved in this program and its activities, including travel incidents. Thereto, the undersigned hereby releases the YVOTC, its directors and agents from all risks involved with participation in this program. The YVOTC is released of all claims arising from participation in said activity or program, except and solely to the extent that the child of the undersigned may be covered by liability insurance of the organization (YVOTC).

I hereby give my consent to the Young Voices of the Carolinas or the designated agent to act in loco parentis when, upon the advice of a physician, medical care is required for my child, and no liability shall be imposed upon YVOTC, its agents or representatives therein.
Parent/Guardian Signature: *
Date
MM
/
DD
/
YYYY
Insurance Information
Student has health insurance *
Insurance Carrier
(If you answered 'Yes' to the previous question)
Policy Holder
Photo Release Agreement
I give my permission to use photos of my child to help promote the Young Voices of the Carolinas in print, or on social media. Full names of children will never appear along with photos in print or on the organization's website.
Allow *
Parent Participation
Each parent is asked to volunteer in some capacity.
Can you help with one of these activities? *
Required
Or do you have a special skill that you would be willing to offer us?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy