* Student's Name
Student's Birth Date
Student's Grade in September
* Parent/Guardian Name
* Home Address
* Parent/Guardian's Phone
Parent/Guardian's Email Address
If you particpate in private instrument or voice lessons, please explain.
This is a performance group; it is imperative that all chorus members be in attendance for rehearsals and performance. Is there any reason why this singer would be unable to meet this requirement?
Total amount you wish to pay:
If not paying in full, total amount you wish to put down as a downpayment (select one)
An invoice will be sent to your e-mail; please enter correct e-mail address:
You will be required to sign a release on the first day of the session. Participation and Photo Release: I give my child(ren) permission to participate in the San Fernando Valley Youth Chorus. I give the City of Los Angeles Department of Cultural Affairs, and its partners, the Canoga Park Youth Arts Center and the San Fernando Valley Youth Chorus, the absolute right and permission to use my and my child(ren)’s photograph(s) (video and/or still) in its promotional materials and publicity efforts, in perpetuity. I understand that the photograph(s) may be used in a publication, print ad, direct-mail piece, electronic media (this includes, but is not limited to, the Internet, e.g., Instagram, Facebook, YouTube, etc), or any other form of promotion. I release the partners, the photographer, their offices, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use.
We have received your submission.