VOCA 2018-2019 Registration
Please complete an individual registration for each member of VOCA. Be sure to click "submit" once the form is completed. All information will remain confidential and will only be accessed by authorized VOCA personnel.
Singer's Name *
Your answer
Singer's Grade Level for Upcoming Year *
Your answer
Singer's School for Upcoming Year *
Your answer
Singer's VOCA Choir - Choose One. *
Singer's Gender - Choose One. *
Singer's Date of Birth *
MM
/
DD
/
YYYY
Singer's Polo Shirt Size - Choose One. *
Primary Contact/Guardian's Name *
Your answer
Primary Contact/Guardian's Relation to Singer *
Your answer
Primary Contact/Guardian's Email Address *
Your answer
Primary Contact/Guardian's Phone Number *
Your answer
Primary Contact/Guardian's Physical Mailing Address *
Your answer
Secondary Contact Name
Your answer
Secondary Contact Relation to Singer
Your answer
Secondary Contact Email Address
Your answer
Secondary Contact Phone Number
Your answer
Name of Emergency Contact (in addition to guardian(s) listed above) *
Your answer
Emergency Contact Relation to Singer *
Your answer
Emergency Contact Phone Number
Your answer
Singer's Primary Care Physician *
Your answer
Primary Care Physician Phone Number *
Your answer
Singer's Health Insurance *
Your answer
Health Insurance Policy/Group Number *
Your answer
Please list any known food or drug allergies. *
Your answer
The VOCA directors and personnel aim to provide each singer with a safe and fun learning environment conducive to music, social, and academic progress and fulfillment. In the space below, list any modification that should be made for your singer to help reach this goal (ex. learning disabilities, hearing or vision impairment, etc.) *
Your answer
Please click the link below for tuition information:
Submit
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