Register for Milwaukee Children's Choir Step 1 of 7 14% Singer InformationSinger's First and Last Name (as you would like it to appear in concert programs)* First Last Email address to be associated with Singer's membership account. (You will also have a parent member account.)* Enter Email Confirm Email Singer's Gender*MaleFemaleOtherSinger's Birth Date* Date Format: MM slash DD slash YYYY Please indicate singer's ethnicity. This is optional and collected for grant and reporting application purposes only.* Black or African American Native American White/Caucasian Hispanic or Latino Asian Pacific Islander Prefer not to say Is this singer currently a part of Milwaukee Children's Choir?*YesNoIf yes, which was the first season?*2018-20192017-20182016-20172015-20162014-20152013-20142012-20132011-20122010-20112009-20102008-20092007-20082006-2007Prior to 2006Singer's Grade as of Fall 2019*1st2nd3rd4th5th6th7th8th9th10th11th12thName of the school singer is attending in fall 2019*Is this a Milwaukee Public School (MPS)?*YesNoIf new to MCC, how did you hear about MCC?*Referred by MCC ChoristerMy music teacher told me about MCCMCC sang at my schoolFacebookMCC website (search or other link)Yard signPoster or sign at Milwaukee Youth Arts CenterMCC booth at community eventOtherIf referred by MCC chorister, please give the name of the MCC chorister who referred you. Parent or Guardian InformationParent/Guardian #1Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Phone* Parent/Guardian #2Name First Last Is the address for Parent/Guardian #1 different from Parent/Guardian #2?Address is the sameAddress is differentAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Enter Email Confirm Email Phone Medical Information/Emergency ContactsAlternative Emergency Contact Name* First Last Relationship to Child*ParentGuardianGrandparentCaregiverSiblingOtherIf other please explain*Phone*Singer's PhysicianPhysician's PhoneDoes the singer have any health problems, allergies, medications and/or dietary requirements?*YesNoList any special health problems. Include allergies, medications, and/or dietary requirements.* Consent and Media ReleaseThis document affects you and your child’s legal rights. Please read it carefully. Before we or others audio record, video record, film and/or photograph the Milwaukee Children's Choir, Inc. and its members, we would like to first obtain permission from each participating child's parent or legal guardian. When your child joins MCC you acknowledge that you understand and agree to each of the following: • You are the parent(s) or legal guardian(s) of the participating child. • You are granting permission to MCC and MCC authorized Third-Parties to audio record, video record, film and/or photograph MCC events and performances. • You are granting permission to MCC and MCC authorized Third-Parties to publish and distribute any current or future audio recordings, television/video recordings, film and/or photographs in any format (collectively referred to as "Recordings"), including those involving your child. Media Release*I agreeI decline Medical ReleaseThis document affects you and your child's legal rights. Please read it carefully. Acknowledgment: I, the parent/guardian of the minor named in these Registration Materials ("my child"), voluntarily agree to permit my child to participate in rehearsals, performances, auditions, tours, recording sessions, social or recreational activities, and other programs and activities of the Milwaukee Children's Choir, Inc. ("MCC Activities") effective the date the registration agreement is signed and continuing for as long as my child is an MCC member. I understand that my child's participation in MCC Activities may involve risks of physical injury, death, or property loss or damage which cannot be completely or precisely predicted. Such risks may include, among other things, risks arising from potential physical hazards at facilities used for MCC Activities (including without limitation risers, stairs, stage edges, tripping hazards, and backstage fixtures and equipment); risks resulting from conditions found on stages (such as bright lights and warm temperatures); risks arising from the acts and omissions of the Releasees, owners and operators of facilities used for MCC Activities, and participants in MCC Activities, including the negligent or intentional acts of other children; and risks arising from transportation, including risks arising from the acts and omissions of vehicle drivers and owners, and common carriers and their servants. The enumeration of risks in this paragraph does not limit the scope of the release of liability contained in this Acknowledgement, Release of Liability, and Consent for Medical Treatment (this "Release"). I acknowledge that no promise or inducement has been offered to me to procure my execution of this Release, that I execute this Release without reliance on any statement or representation by any of the Releasees concerning the potential injuries or damages which may arise from my child's participation in MCC Activities, and that I have carefully read this Release, understand its contents, and agree to this Release as my own free act. Release of Liability: As used in this Release, "Releasees" means Milwaukee Children's Choir, Inc. ("MCC") and its successors, assigns, volunteers, insurers, officers, directors, and employees. In consideration for the MCC accepting my child's participation in MCC Activities and on behalf of myself and my child, I hereby release, forever discharge, and/or otherwise indemnify the Releasees from all claims and liabilities for expenses, damages, or injury to person or property that I or my child may have, now or in the future, for any injury or loss that I or my child sustains, foreseen or unforeseen, arising from or related to my child's participation in MCC Activities. This Release includes, without limitation, any claim based on the negligence of any of the Releasees, but does not include claims based on reckless or intentional conduct of the Releasees. Without limiting the foregoing, I specifically release the Releasees from any and all claims arising on account of (1) first-aid treatment or other similar service rendered to my child; and (2) the negligent selection or supervision by any of the Releasees of any employee, contractor, agent, common carrier, or other provider of products or services to MCC or its participants. Consent for Medical Treatment (Minor):As the parent or legal guardian of my child, I hereby give consent for first aid treatment to be given to my child by MCC employees, and I further give consent for medical care to be given to my child by a duly licensed health care provider. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my child. I understand and agree that I will be liable for any expenses incurred in obtaining medical care or treatment for my child. Medical Release*I agreeI decline Singer Registration ConfirmationFor Parent/Guardian: I am a parent or guardian of the singer named above. I have discussed MCC membership with the singer and want the singer to participate in MCC programming for the current season. Confirmation*I agreeI declineIf you are not seeing a submit button below it is because you have not selected "I agree" for the Media Release, Medical Release and the Registration Confirmation NameThis field is for validation purposes and should be left unchanged.