SFCC Spring 2022 Registration

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Parent/Guardian Information

Email *

2nd Email Address (for spouse, work, etc.)

Parent/Guardian Name *

Parent/Guardian Address *

City *

Zip Code *

Phone # *

Child's First Name *

Child's Last Name *

Birthdate *

YYYY

Grade Entering School for 2020-21 *

Parent Guardian name *

Child's Shirt Size *

Youth - Small

Youth - Medium

Youth - Large

Youth - XL

Adult - Small

Adult - Medium

Adult - Large

Adult - XL

I will be applying for scholarship assistance *

Yes

Tuition payment method *

I will be using PayPal - through SFCC website on Registration page

I will be sending in a Check by mail to SFCC - PO Box 875 - Sioux Falls, SD 57104

MEDICAL RELEASE

Please fill out the following medical information completely.

Physician's Name *

Physician's Phone Number *

Preferred Hospital *

Insurance Carrier *

Group # *

Please list any special health problems, allergies, and/or learning disabilities: *

Please list any medications being taken *

Emergency Contact if Parents Cannot Be Reached. Please include phone #. *

In the unlikely event that my child becomes ill or is injured, and I, or the authorized physician named above cannot be immediately contacted at the time of an emergency, and if in the judgment of the staff of the Sioux Falls Children’s Choir immediate observation or treatment is necessary, I authorize and direct the staff to send my child (properly accompanied) to the hospital or physician most easily accessible. I release the Sioux Falls Children’s Choir, their employees, and agents from any claim of liability in connection therewith. *

By checking this box, I authorize the SFCC staff to seek medical assistance for my child in accordance with the statement above.

Required

PHOTO RELEASE

Consent is hereby granted to the Sioux Falls Children’s Choir for the use of photographs, slides, and television participation involving my child with or without association to my name. These may appear in various electronic or print publications, web pages, presentations and/or television programs that include my child. I grant permission for use of these images without any compensation. *

Yes

SFCC PARENT HANDBOOK

The SFCC Parent Handbook can be found on the SFCC website

I have read and understand the SFCC Parent handbook and agree to abide by the stated rules and regulations *

By checking this box I understand that I am responsible for the information contained in the SFCC Parent Handbook

Required

A copy of your responses will be emailed to the address you provided.

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