Registration - Winnipeg Boys' Choir

Singer's Information:

First Name *

Last Name *

Birthdate *

Street Address *

Apartment, suite, etc

City *

Province *

Postal Code *

Country *

Singer's Email AddressSeniors only

Parents/Guardians

Number of parents/guardians? *

Parent/GuardianPlease add at least 2 parents/guardians when possible.

First Name *

Last Name *

Cell Phone *

Home Phone *

Work Phone

Email Address *

Use same address as singer? *YesNo

Street Address *

Apartment, suite, etc

City

Province

Postal Code

Country

Do you wish to be included in regular mailing list? *YesNo

Other emergency contact:

If possible, please provide an emergency contact who is not a parent/guardian.

First Name

Last Name

Phone

Severe Allergies

Does Singer carry an Epipen? *YesNo

Health concerns or other issues/diagnoses (e.g. ASD) that you think might help us and the singer for us to know about:

Does the singer have an EA or other assistant at school? *YesNo

Do you give permission to the WBC to share your contact information with other choir families to facilitate carpooling etc? *YesNo*Selecting YES means you are in agreement with your information being shared with choir families

Do you give permission to the WBC and collaborating organizations (e.g. choir, Winnipeg Symphony Orchestra) to use recordings/photographs/video of your son for promotional purposes (e.g. on the choir website) and for sharing amongst choir families? *YesNo* Selecting YES means you allow the WBC to use recordings/photographs/video of your son for promotional purposes.

REGISTRATION FORM

Singer's Information:

Parents/Guardians

Other emergency contact:

If possible, please provide an emergency contact who is not a parent/guardian.