Please complete this Registration Form and the Chorister/Parent Contract Form (if you haven't already) to enroll for the full '17-'18 season. Thank you.

Student Name *
Student Name
Student Date of Birth *
Student Date of Birth
Home Phone *
Home Phone
Choir
Parent/Guardian 1 *
Parent/Guardian 1
Parent/Guardian 1 Cell *
Parent/Guardian 1 Cell
Parent/Guardian 1 Work
Parent/Guardian 1 Work
Parent/Guardian 2
Parent/Guardian 2
Parent/Guardian 2 Cell
Parent/Guardian 2 Cell
Parent/Guardian 2 Work
Parent/Guardian 2 Work
Payment Choice *
THE FEE FOR THE 2017-2018 SEASON OF GRCC IS $495.00. PAYMENT OF THIS FEE INCLUDES SUMMER CAMP REGISTRATION AT NO ADDITIONAL CHARGE. Families enrolling more than one child may take a discount of $25 for the second, third, etc. child.
How to Submit Payment *
After completing this form, you may follow the link to pay online, or you may mail your payment to "GRCC", PO Box 8595, Richmond VA, 23226.
WITH MY SIGNATURE BELOW I INDICATE MY UNDERSTANDING THAT THIS IS A COMMITMENT TO PARTICIPATE FOR THE ENTIRE 2015-2016 SEASON, AND THAT THERE ARE NO REFUNDS FOR WITHDRAWALS, MISSED REHEARSALS OR TERMINATIONS OF MEMBERSHIP IN GRCC REGARDLESS OF REASON. I FURTHER UNDERSTAND THAT STUDENTS WHO WITHDRAW REMAIN OBLIGATED FINANCIALLY FOR THE FULL TUITION AND MAY CONTINUE TO BE BILLED FOR TUITION INSTALLMENTS.
Emergency Contact 1 *
Emergency Contact 1
Emergency Contact Phone 1 *
Emergency Contact Phone 1
Emergency Contact 2
Emergency Contact 2
Emergency Contact 2
Emergency Contact 2
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 responsible 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. I hereby waive any claim that might be made against the Greater Richmond Children’s Choir, and their officers, employees, agents, and appointees in connection with any injury or illness this child may incur as a result of any alleged negligence of any of the above entities. 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 Choir without compensation. I understand that any such recordings and/or materials are the sole property of the Greater Richmond Children’s Choir. I am the custodial parent/guardian of this child, legally authorized to grant this legal waiver and permission; I have agreed without reservation to that which is stipulated above.
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.