MYVoice registration

Name*

First Last

YOUR HOME ADDRESS*

Street Address City Province Postal Code

YOUR CELL PHONE

YOUR HOME PHONE*

YOUR EMAIL*

SCHOOL YOU'RE ATTENDING*

Number only (e.g.: 8, 9, 10, 11, 12, 1, 2

AGE*

T-shirt size*

Tell us your size to ensure we get the right MYVoice shirt for you.

VOICE PART*

Don't know
Tenor
Baritone
Bass

REHEARSAL LOCATION*

There are FOUR locations for MYVoice. Please be sure to indicate which one you will attend.

PARENT'S PHONE*

Best number to reach our parent(s) at in case of emergency.

MEDICAL INFORMATION

This information is to be retained by the Chor Leoni throughout the 2019/20 season during rehearsals and performances. All information is treated as confidential and will be made available only to group leaders and, in the case of illness, to medical personnel.

BIRTH DATE*

CARE CARD NUMBER*

NAME OF FAMILY DOCTOR IF YOU HAVE ONE

DOCTOR'S PHONE

KNOWN ALLERGIES TO FOOD/DRUGS

If allergy is serious(if the allergy is serious, please indicate approved treatment in the event that the chorister should have a strong reaction while in rehearsal or performance)

Does the chorister have any health problems that the choir leadership should be aware of?

Parental Consent (required for singers 17 and younger)

DATE*

NAME OF PARENT/GUARDIAN

First Last

I, the parent or guardian of the above chorister, do hereby give consent to Chor Leoni/MYVoice representatives and supervisors approved by the Board of Directors to secure such medical advice and services as may be deemed necessary for the health and safety of the chorister, (1) where the health and well-being of the chorister is involved, and (2) where medical advice has been obtained and normally the consent of the parent or guardian is required. Where all attempts to contact emergency services have failed or where there is insufficient time to contact such services due to the nature of the emergency, it shall be at the discretion of the supervisor as to what steps must be taken for the welfare and safety of the chorister. I, the parent or guardian of the above-mentioned chorister, do hereby also give consent to ChorLeoni/MYVoice to use my son's name or image on programs, posters, website, internal site, displays, newspaper/newsletter articles, television/radio broadcasts, CD recordings, videos and other advertisements or publicity materials. I understand that Chor Leoni/MYVoice will make all reasonable efforts to protect the safety and privacy of my son by never identifying him by his full name in photographs or videos without my specific prior-written consent.

I HAVE READ THIS DOCUMENT CAREFULLY AND UNDERSTAND IT*

Yes
No

By typing your initials in this box, you are acknowledging that you have read and agree to the above terms.*

Buy your VanMan Summit Concert tickets now!

This concert sells out often 6 weeks in advance. Buy your tickets now to avoid disappointment. The concert is Saturday April 25 at 7pm at the Chan Centre at UBC. They are available through the Chan box office: 604.822.2697 or chancentre.com

CAPTCHA

Chor Leoni