LFYC Registration 2017-2018
Singers Name *
Your answer
Second Singers Name (for siblings)
Your answer
Age of singer #1
Age of singer #2
Primary Street Address *
Your answer
City *
Your answer
Zipcode *
Your answer
Secondary Street Address (if needed)
Your answer
City
Your answer
Zipcode
Your answer
Primary parent name *
Your answer
Phone number (home or cell) *
Your answer
email address *
Your answer
Parent #2 Name
Your answer
Phone number (home or cell)
Your answer
email address
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone number *
Your answer
Birthdate of Singer 1
Your answer
Birthdate of Singer 2
Your answer
Grade (fall 2017) Singer 1
Your answer
Grade (fall 2017) Singer 2
Your answer
School attended (2017-2018) Singer 1
Your answer
School attended (2017-1018) Singer 2
Your answer
T-shirt size Singer 1
T-shirt size Singer 2
Does your singer currently take voice lessons? (singer 1)
Does your singer currently take voice lessons? (singer 2)
Private teacher's name (if applicable)
Your answer
Does your singer(s) have any physical handicaps, learning disabilities, chronic or serious medical conditions, emotional disorders, language deficits, or any other unusual attributes or conditions in which the LFYC staff should be aware of in order to appropriately accommodate your singer? If so, please explain below:
Your answer
RELEASE OF LIABILITYI agree on behalf of my minor(s) child, children, or ward (hereinafter- "child"), and the child's heirs, executors, administrators and assigns, in partial consideration of the child's participation in the Lancaster-Fairfield Youth Choir (hereinafter "LFYC"), and the child's heirs, executors, administrators and assigns, in partial consideration of the child's participation in LFYC, hereby voluntarily waives, releases, relinquishes and forever discharges any and all actions, causes of action, claims, or demands of whatsoever kind or nature, either in law or in equity which may arise on behalf of either the undersigned or the child, against LFYC, its employees, trustees, volunteers, officers, assistants, the Lancaster Chorale Board, or any other personnel authorized to assist in the operation of LFYC( hereinafter,"staff"), arising from or by reason of any bodily injury or personal injuries known or unknown, death and/or property damage resulting or to result from the child's participation in LFYC, or from any activities in connection therewith, whether by negligence or otherwise, wherever or however any such injury, death and/ or property damage may occur. The undersigned, on behalf of themselves and the child, also hereby released and discharges them, and each of them, from any and all liability whosoever for any damaged or injury which may be sustained by the child arising from or out of the child's participation in LFYC or its staff for personal injury, death, or property damage arising from the child's participation in LFYC, or from any activities in connection therewith; and that in the event any claim for personal injury, death, or property damage in connections with the child's participation in LFYC shall be brought by any person or entity against LFYC, or it's staff, the undersigned shall be defend, indemnify and save them harmless from any and all such claims or causes of action by whomever made an wherever presented.The undersigned states that the child's physical condition permits their participation in LFYC's rehearsal and performance activities. The undersigned states they have read this release, understand its contents, and are authorized to sign this release on behalf of the child. The undersigned further states that the terms of this of this release are contractual and are not a mere recital, and that they constitute the entire agreement between the parties. *
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