Singers Name*

First Name

Last Name

Singer's Date of Birth*

Singer's Sex*

Grade in 2023-2024 School Year*

Singer's Height*

Singer's Shirt Size*

Music Teacher's Name*

First Name

Last Name

School Name/Corporation*

Parent/Guardian Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Parent Email 1*

Confirm Parent Email 1 *

Parent Email 2

Confirm Parent Email 2 *

Home Phone*

If you don't have a home phone, please enter 000-000-0000

Work Phone

Cell Phone*

If you don't have a cell phone, please enter 000-000-0000

Text Option: Opt In*

By clicking yes, you agree to allow the Indianapolis Children's Choir to text your cell phone regarding important updates/information about Choral Festival

Emergency Contact Name*

First Name

Last Name

Emergency Contact Phone*

Medical release

In the unlikely event that my child becomes ill or is injured, and I cannot be immediately contacted at the time of an emergency, and if in the judgement of the staff of the Anderson Area Children's Choir or Indianapolis Children's Choir immediate observation or treatment is necessary, I authorize and direct the staff to send my child (properly accompanied) to the hospital or physician most easily accessible. I also give permission for dispensing of over the counter medicines (i.e. Tylenol, Tums, Ibuprofen, etc.) as deemed necessary by the ICC staff or the designated medical personnel. I release the AACC and ICC, their employees, and agents from any claim of liability in connection therewith.

Please list any special health problems, allergies, and learning disabilities of singer*

Please list any dietary restrictions

Please list any medications being taken by singer*

Does your child carry an epipen?*

For students entering grades 1-7 in the fall of 2023

Discount code

Credit Card*

Name on Credit Card*

First Name

Last Name

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Register My Singer*

This gives permission for the use of name, image, pictures, and recordings of my child, listed above, by the Indianapolis Children's Choir without compensation except as may be agreed in advance for certain projects, this permission being a waiver as to all choir functions regardless of payment or other benefits to the choir.

Processing Fee $

Tuition $

Total Charge to Your Card* $

Fall Break Music Camp Online Registration Form

For students entering grades 1-7 in the fall of 2023