Singer's Name *

First Name

Last Name

Singer's Birthdate *

MM

DD

YYYY

Singer Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First (1) Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Cell Phone *

(###)

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Second (2) Parent/Guardian Name

First Name

Last Name

Parent/Guardian Cell Phone

(###)

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Cell Phone

(###)

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Claims Release *

In consideration of permitting my child named above to participate in rehearsals, performances, and all other activities of the San Diego Children's Choir between September 1 and August 31, we, guardians of said minor, forever release, acquit and discharge the San Diego Children's Choir and its employees and representatives from any and all liability. The undersigned hereby agree(s) to indemnify and save harmless the above parties from all loss, damage, costs and expenses, by reason of any claim, demand or suit made on behalf of said minor child.

I acknowledge that I have read and agree to the above Release of all Claims, Medical or Otherwise, for minor child.

E-Signature of Parent or Legal Guardian *

By typing your name below, you acknowledge 1) you are responsible for the transportation of your child to and from all Choir events, and 2) you acknowledge that you are the child's parent or legal guardian and that you have read and reviewed this form.

First Name

Last Name

Today's Date *

MM

DD

YYYY