Singer Registration for BCYC Elementary Honor Choir

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Please register your child here for the Bel Canto Youth Chorus Elementary Honor Choir to be held Saturday, April 22, 2023 in Bethlehem!

Festival Schedule:

Concert open to the public at 4:00 PM

Additional details will be distributed with the music on February 27th.

Email *

Child's first name *

Child's last name *

Current grade *

First name of sponsoring teacher *

Last name of sponsoring teacher *

School or affiliation of sponsoring teacher *

Email of sponsoring teacher

Parent/guardian first name *

Parent/guardian last name *

Relationship to child:

Mother

Father

Guardian

Grandparent

Other

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Parent/guardian mobile phone number *

Parent/guardian best email *

Media Release: By checking below, I do/do not give consent for The Bel Canto Youth Chorus of The Bach Choir of Bethlehem to use my child’s image taken in connection with The Bel Canto Youth Chorus Elementary Honor Choir including still photographs and video for the purpose of promoting the program in publications (brochures, flyers, newspaper articles, advertising and promotional materials, and social media) I release Bel Canto Children’s Chorus of The Bach Choir of Bethlehem from any and all liability that may arise in connection with such use.

I am the parent or legal guardian of the child named below and have the legal authority to execute this consent and release.

I do consent to the above media release.

I do not consent to the above media release.

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Medical Release: By checking the appropriate box below, I hereby authorize the staff and representatives of The Bel Canto Youth Chorus of The Bach Choir of Bethlehem to arrange for emergency medical and/or dental care and treatment necessary to preserve the health of my child.

In the event that my child is injured or ill while under the supervision of the Bel Canto Youth Chorus of The Bach Choir of Bethlehem staff, I hereby give permission to provide first aid for said child and to take appropriate measures, including contacting the Emergency Medical Service (EMS) system and arranging for transportation to the nearest emergency medical facility.

I acknowledge that no guarantees have been made to me as the effect of such examinations or treatment on the condition of my dependent and that I am responsible for all reasonable charges in connection with the care and treatment rendered to my child during this period.

I do consent to the above medical release.

I do not consent to the above medical release.

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Please list any allergies (food, bees, other significant allergies) that we should know about:

Is there anything else we should know about your child that would help us to ensure they have a positive experience with us?

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