Middle School Show Choir Workshop Registration
Learn two show choir numbers to perform at CHHS Choral Boosters' Winter Wonderland Spectacular on December 7!

Clover Hill High School Chorus Room
13301 Kelly Green Lane
Midlothian, VA 23112

Workshop is TWO DAYS:
Friday, November 22, 2019 @ 6:30-8:30 pm - Learn the Vocals
Sunday, November 24, 2019 @ 3:00-7:00 pm - Learn the Choreography

PERFORMANCE: Saturday, December 7, 2019 - Time TBA at Clover Hill High School

Cost: $40 per student
For students in grades 5-8

Registration must be accompanied with full payment of $40.00. All workshop fees must be paid in full before November 22, 2019.

Payment can be made via credit card (with 3% additional fee) at CloverHillChoirs.com/store, or by check, payable to CHHS CHORAL BOOSTERS. Please note your student's name on the memo line.

Please mail checks to: Clover Hill High School, 13301 Kelly Green Lane, Midlothian, VA 23112, ATTN: CHHS Choral Boosters
Student's First Name *
(legal name)
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Student's Last Name *
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Preferred name to be called
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Gender *
Current Grade Level *
Where does your student go to school? *
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Street Address *
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Zip Code *
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Parent/Guardian Name *
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Parent/Guardian Email *
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Parent/Guardian Phone *
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Student Email
If the student has their OWN email address, please include that here.
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Emergency Contact *
Local contact that can be reached should an illness/emergency occur during workshop.
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Emergency Contact Phone *
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Allergy Information *
Please indicate allergy, reaction and treatment required. (or N/A if none)
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Please list any medical conditions of which our teachers should be aware. *
These would include autism spectrum disorders, ADD/ADHD, diabetes, etc. (or N/A if none)
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EMERGENCY MEDICAL RELEASE: I authorize CHHS Choral Boosters, Rachel Snyder and/or Breanna Ford to seek medical attention for my child in case of emergency and parent/guardian or emergency contact listed above cannot be reached. *
PHOTO/VIDEO RELEASE: CHHS Choral Boosters has permission to photograph/video my child for educational and promotional purposes. I understand that children will not be identified by name in any images that are displayed. *
I am aware that my student's space is NOT guaranteed until my workshop fee of $40.00 has been received by CHHS Choral Boosters. Payment can be made via credit card online at https://www.CloverHillChoirs.com/store or by check, payable to CHHS Choral Boosters, with your student's name on the memo line. Please mail checks to: CHHS Choral Boosters, Clover Hill High School, 13301 Kelly Green Lane, Midlothian, VA 23112. *
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