Palmetto Youth Choir - Music Video Choir Camp 2024 - Registration Form
We're excited to welcome you to our Summer Camp!

If you are signing up more than 1 child, please complete this form again for each child.

*** To hold your spot, you must also make your payment HERE!

If you have any questions, contact us at: palmettoyouthchoir@gmail.com, or 843-991-6369.  www.palmettoyouthchoir.com


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Email *
Child's Name *
Child's Age as of July 8, 2024 *
Required
Child's Grade Level as of July 8, 2024 *
Required
Name of School *
Primary Parent/Caregiver Name *
Primary Parent/Caregiver Home Address *
Primary Parent/Caregiver Phone Number (Cell Preferred) *
Secondary Parent/Caregiver Name
Secondary Parent/Caregiver Email Address
Secondary Parent/Caregiver Phone Number (Cell Preferred)
Secondary Parent/Caregiver Home Address (if different)
Alternate Emergency Contact Name, Relationship & Cell Phone *
Will someone other than the primary or secondary parent/caregivers will be transporting the student to our programs? If so, please provide their name, relationship and cell phone number below:
Child's Identifying Gender *
Does the child have any allergies, medical, emotional or social considerations we should know about? *
Please briefly summarize any singing or performing arts experience, or any other relevant information you'd like to share. *
How did you hear about us? *
* Fees:  I, the undersigned, understand that payment is due in full upon registration to secure a spot in this camp. I understand this payment is non-refundable, but it may be transferred to a future program.
 *
Required
* Release of Liability: As the legal parent or guardian, I release and hold harmless Palmetto Youth Choir/ Rosewood Productions, LLC, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon any premises under the control and supervision of Palmetto Youth Choir, Rosewood Productions, LLC, its owners and operators or in route to or from any of said premises. *
Required
* Photo/Video Release: The undersigned gives permission to Palmetto Youth Choir/Rosewood Productions, LLC, to use photos and/or videos of the participant for the marketing of their company and services. Rosewood Productions, LLC and its owners and operators agree to do so without using any names or information about the participants. All visual materials remain the property of Palmetto Youth Choir/Rosewood Productions, LLC. *
Required
Code of Conduct: I will review the Code of Conduct and share with the student. I understand that if a student is dismissed because of conduct issues any fees already paid are non-refundable. *
Required
Today's Date *
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Electronic Signature *
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