PACC Youth Chorus and Preparatory Chorus Student Registration Form (Fall 2024)
Please fill out this form in its entirety. If a field is not applicable, please leave it blank.
Email *
Student's First Name *
Student's Last Name *
Performing Ensemble *
Which chorus has your child been assigned to?
School Information *
Name of School
Grade Level (2023-24) *
T-Shirt Size *
I understand that images of the students within the rehearsal and concert settings are sometimes used for promotional purposes. *
Required
Street Address *
City *
Zip Code *
Gender *
Home Phone *
Preferred contact e-mail *
This address will be used for all communication from the director
Preferred contact phone number *
A group text will go to this number in the event of a weather cancellation
Other contact e-mail
Guardian's Name *
Guardian's address (if different from child)
Guardian's Cell Phone
Guardian's Name *
Guardian's address  (if different than child)
Guardian's Cell Phone
Allergies
Does your child have any food or medication allergies that the staff should be aware of?
Medical Information
Does your child have a medical condition that the staff should be aware of? (Ex: ADHD, Diabetes etc.)
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