Membership Category
*
Chorister's Name
*
First Name
Last Name
Which Tier Group Is Your Child?
*
Indicate which tier group the Artistic Director has placed your chorister for the 2023-24 season
What grade will your child be in the Fall of 2023?
*
pre-2nd
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Which school will your child attend in the Fall of 2023?
Age of Chorister in September 2023
*
Address (where chorister resides)
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Parent/Guardian Full Name
*
Please provide accurate information as the chorus will use this information for all chorus and emergency contacts
First Name
Last Name
Primary Phone Number
*
(###)
###
####
Secondary Parent/Guardian Full Name
First Name
Last Name
Secondary Phone Number
(###)
###
####
Emergency Contact 1: Full Name
*
Please complete information for 2 emergency contacts whom you hereby authorize to pick up your children. Emergency contacts MUST be adults other than those listed as Parents/Guardians above, and may be parents of other choristers.
First Name
Last Name
Emergency Contact 1: Relationship
*
Emergency Contact 1: Primary Phone Number
*
(###)
###
####
Emergency Contact 2: Full Name
*
First Name
Last Name
Emergency Contact 2: Relationship
*
Emergency Contact 2: Primary Phone Number
*
(###)
###
####
Health Information: Indicate any health conditions that would require special attention from the Artistic Director (be as specific as possible). If this question does not apply, write “not applicable” or “N/A” in the space below.
*
Health conditions Including ADHD, Allergies, Asthma, Diabetes, Hearing problems, Heart issues, Physical disabilities, Seizures, Vision problems, etc.
Media Release
*
The Arlington Children’s Chorus (ACC) would like your child to participate in any photograph or video or audio recording that may be used for promotional purposes by The Arlington Children’s Chorus and may be copied, copyrighted, edited and distributed by ACC. You have the right to object to the use of your child’s likeness, name and/or voice in these productions, however, your child may not be able to participate in some activities. If you object to this Media Release a member of the ACC will contact you to discuss the options.
Publication of Name
*
The ACC lists your child's name in program guides, which include the program guide at the Kennedy Center's Nutcracker performance. The ACC will never publish the full name of your child on any public document or public site. If you do not want your child's name to be published in any program guide, you may opt-out below and your child's name will NOT be in the ACC programs or on the Nutcracker Program Guide.
Where did you FIRST hear about the ACC
*
Which category best describes your chorister?
How does your chorister publicly self-identify?
What was your chorister's gender at birth?
How does your chorister self-identify?
I would like to help the ACC as a volunteer in the following categories:
Additional Information
If you answered 'Other' in the question above or any other question, or would like to share any other information, please write here:
Thank you for registering! You will now be directed to the payment page where you may pay for your chorister(s) online, or alternatively, send a check to The Arlington Children’s Chorus, PO Box 7724, Arlington, VA 22207 and please write the name of your chorister(s) on the check.
If this page does not redirect, you may make the payment at https://www.arlingtonchildrenschorus.org/make-a-payment.
