Junior Jubilee Registration Form
Please Complete this Registration information for our 2019/2020 Season. All new and returning members must complete this form. Payment is due by the end of September 2019/January 2020. Cost is 2 payments of 75.00 ( payable Sept/Jan) or save and pay in advance $140.00 if paid by end of Sept 2019. Payment can be made by cash, cheque or email transfer to gjstreasurer@gmail.com
Name of Child *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Full Mailing Address *
Your answer
School and Grade *
Your answer
Phone Number *
Your answer
Email Address *
please include any email addresses that you want to be included in our mailings including that of your child. we will be using this email address in our mailing list so we can keep you updated on the programme details reminders etc.
Your answer
Can we share your contact information with other GJS/JJ Families? *
Parents Name *
Your answer
phone number/email *
both or preferred
Your answer
Parents Name
Second Parent / Guardian (optional)
Your answer
Phone number/email
Your answer
Emergency Contact *
Your answer
Health Card Number
optional but we will need it if we are going off site with your child
Your answer
Health Information - Does your child have allergies or medical condition we should be aware of?
If yes to above please share details
severity/medicine required/type of medical condition or allergy or N/A
Your answer
Does your child have any other issues or needs we should be aware of? *
please include any information that will help us ensure your child has a wonderful experience with the programme.
Your answer
MEDIA RELEASE --One of the primary objectives of the Goulbourn Jubilee Singers -Junior Jubilees is to allow choristers the opportunity to perform in a variety of public venues in our community. As a result it is impossible to completely control situations where a chorister may be photographed or videotaped in public. There are a few situations when we can control media exposure such as a direct request from media, and what is published on our website in terms of images of our choristers. It is fully understood that in these limited situations you may not wish media contact for your chorister.Please choose from the following statements regarding these limited situations described above. *
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