PCYC Registration
Register for Putnam Chorale Youth Chorus
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Email *
Singer's First Name *
Singer's Last Name *
Singer's Email (if available)
Age *
School *
Grade *
Name of Parent Contact *
Parent Email *
Parent Address *
Parent Mobile Phone *
Emergency contact (if different from above): Name
Emergency contact: Phone
Medical Conditions we should know about
Tuition Options *
Required
Payment Methods *
Checks Payable to Putnam Chorale. Mail to: Carol Paterno, Treasurer, 128 Mistover Way, Pawling NY 12564. Arrangements due before first rehearsal.
Required
RELEASE FORM: I give permission for my child to be photographed, videotaped, and recorded, for PCYC use.
For additional information email: Jessicaz@putnamchorale.org
Provide additional information here, if necessary.
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