West LA Chinese Chorus 2022-2023: Registration Form

OUR MISSION:

To provide children with a Mandarin environment and the joy of learning music as well as to equip children with Mandarin language and musicianship skills.

To promote Chinese culture through singing songs in Mandarin. Special arrangements are made by our music director, Dr. Wang.

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1st Semester: September 7, 2022- January 8, 2022; 16 rehearsals+Winter Concert
 
No class during the week of Nov 21, and Dec 19 - Jan 2

2nd Semester: January 9, 2023- June 10, 2023; 22 rehearsals +CNY Performance & Spring Show

Performance Dates: December 11, January 15, June 11

Location: in West LA, I-10 & I-405, near Clover Ave Elementary

Website:https://drwangmusic.wixsite.com/hom
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Email *
Our story
Class Levels
*
Required
Class Fee Schedule *
NO REFUNDS. CREDIT MAY BE ISSUED IN SPECIAL CIRCUMSTANCE.

Annual Registration Fee: $30 (non-refundable)
Material Fee: $40
Any special clothing/dress or costumes for the performance is provided by the parents.

Tuition includes Winer Concert, CNY Performance, and Spring Show

Full Year Payment: 5% off Full Year Tuition

Student Level: 1st Semester Tuition 2nd Semester Tuition

Prep (Ages 4&5): 50 mins per class $458 $630
Group 1 (Ages 5-7): 60 mins per class $530 $730
Group 2 (Ages 8-10): 60 mins per class $530 $730
Group 3: (Ages 10+): 75 mins per class $645 $890
Adult: 75 mins per class $325 $445

Group 3: Full Year Enrollment Only. 5% off Full Year Payment or 2 Payment Plan: due at registration and Dec 10.

Payment (Tuition+Registration+Material Fees) to Ching-Yi Wang (530-665-9321) via Zelle or Venmo. Please include the student's name in the memo.         

Studio Rules/Policies *
• All students should display exemplary behavior during class, to the teacher and fellow students.
• Respect our studio equipment and follow studio policies at all times.
Required
Student's Name *
Student's Chinese Name
Date of Birth *
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Academic Grade *
Mandarin Background (Years of Mandarin instruction? in Mandarin immersion program?) *
Play Any Instrument(s)? If Yes, When?
Please Describe Singer's Personality *
Parents/Guardian Name #1 *
Parents/Guardian Email Address #1 *
Parents/Guardian Cell Phone Number #1 *
Parents/Guardian Name #2 *
Parents/Guardian Email Address #2 *
Parents/Guardian Cell Phone Number #2 *
Home Address *
City *
Emergency Contact Name/Relationship and Phone Numbers (if parents not reached) *
How did you hear about us? *
Referrer
Waiver/Release
General Release of Liability Form: I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES being conducted by West LA Chinese Children’s Chorus including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I CERTIFY that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I CERTIFY that there are no health-related reasons or problems which preclude my participation in this activity. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity. In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (1) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: West LA Chinese Children’s Chorus and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers; (2) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. I acknowledge that West LA Chinese Children’s Chorus and their directors, officers, volunteers, representatives, and agents are NOT responsible for errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people, including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. PARENT OR GUARDIAN OR LIAION OF SUCH, OF A MINOR: I, as parent or guardian or liaison of the above named minor, hereby give my permission for this child or ward to participate in the above named activity, and further agree, individually and on behalf of this child or ward, to the terms as outlined herein. Photograph Waiver: I authorize my child's photo to be used in print, website or official Dr. Wang's Music Studio social media platforms only for advertising purposes.
Signature *
Required
Date *
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Thank you!! 

We look forward to welcoming you. 

If you have any questions, please email drwangmusic@gmail.com or call the studio at (530) 665-9321.
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