CNCC Registration Form 2019-20
FEES:
Training Choir (age4-7) $395
Intermediate Choir (age 8-10) $475
Concert Choir (age 11+) $525

Payment by CHEQUE payable to CHORUS NIAGARA (in the memo line please indicate CNCC registration) mail to Chorus Niagara, 221 Glendale Ave., P.O. Box 25019, St.Catharines, ON L2T 4C4

CHORUS NIAGARA provides a limited number of bursaries to families who require financial assistance. Completion of an application form is required. For more information contact Elise Naccarato cnchildrenschoir@gmail.com

Email address *
Name *
Your answer
Email *
Your answer
Address *
Your answer
Primary Phone *
Your answer
Other parent/guardian name *
Your answer
First Child's Name *
Your answer
Second Child's Name
Your answer
Third Child's Name
Your answer
First Child's Age in Sept 2019 *
Your answer
Second Child's Age in Sept 2019
Your answer
Third Child's Age in Sept 2019
Your answer
First Child's School *
Your answer
Second Child's School
Your answer
Third Child's School
Your answer
First Child's Grade in Sept 2019 *
Your answer
Second Child's Grade in Sept 2019
Your answer
Third Child's Grade in Sept 2019
Your answer
First Child Date of Birth *
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Second Child Date of Birth
MM
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DD
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YYYY
Third Child Date of Birth
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DD
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YYYY
Sex/Gender of 1st Child
Sex/Gender of 2nd child
Sex/Gender of 3rd child
Primary Language Spoken *
Your answer
Other Language(s) Spoken
Your answer
Allergies? Please List for each child *
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Does the first child carry an epi-pen? *
Does the second child carry an epi-pen?
Does the third child carry an epi-pen?
Parent 1/Guardian Name and cell phone *
Your answer
Parent/Guardian 1 email *
Your answer
Parent/Guardian 1 occupation
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Parent/Guardian 1 employer
Your answer
Parent 2 /Guardian Name and cell phone *
Your answer
Parent/Guardian 2 email *
Your answer
Parent/Guardian 2 occupation
Your answer
Parent/Guardian 2 employer
Your answer
Parent/Guardian music background - children's musical background.
Your answer
Do the children attend any special programs at school? Gifted, IEP, Immersion etc... Please indicate per child
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Has the child sung in a choir before? Please indicate per child
Your answer
Does the child play a musical instrument? Please indicate per child
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Has the child taken any music exams? Please indicate per child
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Name of child's private music teacher. Please indicate per child
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Name of child's school music teacher. Please indicate per child
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Please indicate any other information to help us assess the child's musical ability (per child)
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How did you hear about CNCC? *
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Are you being referred to CNCC by another CNCC family? If so, please name. *
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