Registration Form: ECMI Youth Chorale - Fall 2019
Thank you for your interest in the Ellsworth Community Music Youth Chorale!
A review of the offering and payment details...
ECMI Youth Chorale - Fall 2019

Thursdays, October 24, 2019 - December 19, 2019
(No session on November 28)

Moore Community Center | Ellsworth, Maine

ECMI Youth Chorale - to perform w/ Bagaduce Chorale at their Holiday Extravaganza concerts, Dec. 20-22, 2019.
$75 per child
One time fee for 8 sessions
6:30 - 7:30pm

Please complete a registration form for each child.

Payments may be sent via check to:

Ellsworth Community Music Institute
PO Box 56
Ellsworth, ME 04605

Alternatively, you may request an email invoice or pay via cash/check/credit card at our registration desk on the first day - October 10

Please call us at: 207-664-9258 or email: with questions.
Student First Name *
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Student Last Name *
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Parent or Guardian First Name *
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Parent or Guardian Last Name *
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Emergency Contact 1 *
If same as parent listed above, please type "same"
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Emergency Contact Phone 1 *
If same as parent listed above, please type "same"
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Emergency Contact 2 *
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Emergency Contact Phone 2 *
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Parent Email *
If no email, please enter "N/A" and include phone below.
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Home Phone
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Mobile Phone
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Mailing Address 1
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City *
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Student Age
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Student Grade
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Student T-shirt Size
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Policies of Ellsworth Community Music Institute
If the Moore Center is open, ECMI is open. The Moore Center does not necessarily follow school closings.

Please check or the ECMI Facebook page, or check for a cancellation notice on WLBZ Channel 2 or their website.

School Delays: Ellsworth Public Schools late starts do not affect ECMI classes.

Unless the student’s family submits a written request to the contrary, photographs of registered students taken during ECMI classes and events are considered eligible for publication and public use. All such student requests will be honored.

ECMI is committed to maintaining an environment where each individual who participates in its programs and attends its events feels safe, respected, and supported. Any individual whose behavior interferes in any way with that environment may, at the sole discretion of ECMI, be asked to withdraw from its programs.

ECMI reserves the right to discontinue a student’s enrollment at any time for reasons including, but not limited to: poor attendance, non-payment of fees, lack of interest or disruptive behavior.

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