CNCC Registration Form 2020-2021
FEES:
Training Choir (age 3-6) $300
Intermediate Choir (age 7-11) $475
Concert Choir (age 12+) $525
Chamber Choir (by audition only) $600

**EARLY BIRD REGISTRATION**
Register your child for the FULL SEASON BEFORE AUGUST 1st and receive 20% off
Training Choir (age 3-6) $240
Intermediate Choir (age 7-11) $380
Concert Choir (age 12+) $420
Chamber Choir (by audition) $480

Payment by CHEQUE payable to CHORUS NIAGARA (in the memo line please indicate CNCC registration) mail to Chorus Niagara, 221 Glendale Ave., P.O. Box 25019, St.Catharines, ON L2T 4C4. Payment may also be made by Interac Online Transfer to cnadmin@becon.org with no password.

CHORUS NIAGARA provides a limited number of bursaries to families who require financial assistance. Completion of an application form is required. For more information contact Diana McAdorey, Chorus Niagara Managing Director cnadmin@becon.org

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电子邮件地址 *
Name *
Address *
Primary Phone *
Other parent/guardian name *
First Child's Name *
Second Child's Name
Third Child's Name
First Child's Age in Sept *
Second Child's Age in Sept
Third Child's Age in Sept
First Child's School *
Second Child's School
Third Child's School
First Child's Grade in Sept *
Second Child's Grade in Sept
Third Child's Grade in Sept
First Child Date of Birth *
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月
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日
Second Child Date of Birth
年
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月
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日
Third Child Date of Birth
年
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月
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日
Sex/Gender of 1st Child
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Sex/Gender of 2nd child
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Sex/Gender of 3rd child
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Primary Language Spoken *
Other Language(s) Spoken
Allergies? Please List for each child *
Does the first child carry an epi-pen? *
Does the second child carry an epi-pen?
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Does the third child carry an epi-pen?
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Parent 1/Guardian Name and cell phone *
Parent/Guardian 1 email *
Parent/Guardian 1 occupation
Parent/Guardian 1 employer
Parent 2 /Guardian Name and cell phone *
Parent/Guardian 2 email *
Parent/Guardian 2 occupation
Parent/Guardian 2 employer
Parent/Guardian music background - children's musical background.
Do the children attend any special programs at school? Gifted, IEP, Immersion etc... Please indicate per child
Has the child sung in a choir before? Please indicate per child
Does the child play a musical instrument? Please indicate per child
Has the child taken any music exams? Please indicate per child
Name of child's private music teacher. Please indicate per child
Name of child's school music teacher. Please indicate per child
Please indicate any other information to help us assess the child's musical ability (per child)
How did you hear about CNCC? *
Are you being referred to CNCC by another CNCC family? If so, please name. (we provide referral discounts to currently registered families who refer a child into CNCC *
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