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GBCC Summer 2023 Chorus Camp
JUNE 26th - 30th, 2023. 9:00 am - 12:00 pm. Hosted at Mater Christi School, 50 Mansfield Ave., Burlington Vermont. Welcoming students entering 2nd - 6th grades of all abilities.
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Cost by check: $195 mailed to GBCC 140 Summit St. Burlington VT 05401.
*Required 3% service charge for paying via Venmo for Business, @gbcchorus.
Student Full Name:
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Student Date of Birth:
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My child is entering the following grade level in Fall 2022:
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2
3
4
5
6
Other
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Name of school student attends:
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Parent/Guardian Full Name:
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Your answer
Address:
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Phone:
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Emergency Contact: Please Provide Name, Phone #, and Relationship to student:
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Student's Pediatrician and Phone #:
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I will not hold GBCC, or it's partners or sponsors, responsible whatsoever for any harm which may come to my child as a result of participation in GBCC programming.
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I agree, and with this answer provide my legal assent to the above statement.
I grant permission for my child's image to be used in promotional materials:
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Yes
Other: Please provide details in space below.
Please share any additional information about your child that you would like us to know:
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I would be interested in potential future programming for my Pre-School - 1st grade child.
Pre-School
Pre-Kindergarten
Kindergarten
1st Grade
Please let us know how you heard about GBCC. Thank you!
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After submitting this form, we will be in touch with further Summer 2023 Chorus Camp details and payment information. Registrations are not complete until payment is received. Thank you for registering your child with GBCC!
A copy of your responses will be emailed to the address you provided.
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