Poco Singers

Student Name *
Student Name
Address *
Address
Home Phone
Home Phone
Parent #1 Name *
Parent #1 Name
Parent #1 Phone *
Parent #1 Phone
Parent #2 Name
Parent #2 Name
Parent #2 Phone
Parent #2 Phone
Session *
For which session of GRCC Poco Singers are you enrolling?
Payment of Tuition Fees *
NOTE: THE FEE FOR EACH POCO SINGERS SESSION IS $150.00. Families enrolling more than one child may take a discount of $10 for the second, third, etc. child. Students enrolling for both sessions now may take a discount of $15.
How to submit payment *
Emergency Contact
Emergency Contact
Emergency Contact Phone
Emergency Contact Phone
I represent and warrant to the Greater Richmond Children’s Choir “(GRCC”) that I am the parent or guardian of the chorister listed above, a minor (“my child”), and that I have the authority to give this release and waiver of liability (“Release”) on my child’s behalf, on my behalf, and on behalf of all other parents or guardians of my child. I accept this Release as an inducement to GRCC to allow my child to participate in GRCC activities, (collectively, “GRCC Activities”). I understand that this child will be under the supervision of the Greater Richmond Children’s Choir staff and appointees. I understand that despite the reasonable supervision that the Greater Richmond Children’s Choir will make in this connection, the Greater Richmond Children’s Choir cannot guarantee against the possibility of accident or illness involving this child. With this knowledge, on behalf of my child, myself and all other parents or guardians of my child, to the fullest extent permitted by law, I hereby waive and release any and all rights that my child, I, or any other parent or guardian of my child may have to make a claim against GRCC, GRCC’s officers and directors, and/or any GRCC Representative(s) arising from any damages, injury, illness, or death. I agree not to sue GRCC or any GRCC Representative for any and all Claims for loss of or damage to property, bodily or personal injury, loss of companionship or support, or death sustained by me or my child arising out of or relating to my child’s participation in GRCC Activities, including travel. I further agree to indemnify and hold harmless GRCC, GRCC’s officers and directors, and GRCC Representatives from any Claims I might make or which might be made on my behalf or on behalf of my child arising from my child’s participation in GRCC Activities, including travel. Furthermore, I agree to indemnify and hold harmless GRCC, its officers and directors, and all GRCC Representatives from any claims arising out of any injury, death, loss, or damage to personal property which my child causes during his/her participation in GRCC Activities. I give my permission to the Greater Richmond Children’s Choir to use photographs, videos, audio recordings and film footage of my child participating in rehearsals and performances of the Greater Richmond Children’s without compensation. I understand that any such recordings and/or materials are the sole property of the Greater Richmond Children’s Choir.
I give my permission to personnel or representatives of the Greater Richmond Children’s Choir to seek medical treatment for my child. I also permit treatment to be carried out by a hospital and physician in the event that my child has been taken there for emergency care. I understand that any medical expense will be billed directly to me or my insurance carrier.
T-shirt Size *