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Enrollment Form
Mandie Sellars
2018-01-02T18:19:21-05:00
Capital City Girls Choir Enrollment Form
Singer Information
Singer's Name
*
First
Last
Birthdate
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
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8
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10
11
12
13
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16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
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1986
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1984
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1981
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1971
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1968
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1962
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1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Current School
*
School Grade
*
For the 2017 - 2018 school year
Chorister Cell Phone
*
(for important text messaging)
Chorister's Email
*
Chorister T-Shirt Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult XX Large
Allergies
Food, Drug, and other relevant allergies
Medical Conditions
Please list any other medical conditions that the choir might reasonably need to know about.
Contact Email
Please specify one email address for CCGC updates and information and billing
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parent's Information
Parent's Name
*
First
Last
Parent's E-mail
*
Parent's Cell Phone
*
Parent's Occupation
Parent's Employer
Parent's Work Phone
Other Parent's Name
*
First
Last
Other Parent's E-mail
*
Other Parent's Cell Phone
*
Other Parent's Occupation
Other Parent's Employer
Other Parent's Work Phone
Parking on Meredith's Campus
All cars parked at Meredith College must have a valid parking decal/permit. The permits must be renewed yearly. Campus Security regularly checks parking permits. Please contact Campus Security if you have any questions or to report any problems:
919-760-8888
. To avoid fines, permits must be displayed on the dashboard of your vehicle while parking on campus. No parking is permitted in spaces marked Reserved at All Times. The lower commuter lot is the recommended place to park. Two parking passes are permitted per family. A separate registration is required for each car.
First Car's License Plate Number
*
State where first car is registered
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
First Car's Make, Model, and Year
*
Second Car's License Plate Number
State where second car is registered
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Second Car's Make, Model, and Year
Tuition Payment Information and Acknowledgement
Tuition for the 1/2 year will be billed at one time and should be paid in full by January 22, 2018. The first payment of $100.00 (non-refundable deposit) is due January 8, 2018. (Please bring to the first rehearsal). Payment in Full is encouraged.
Girls Chorus:
TOTAL: $245.00
Girls Chorale:
TOTAL: $330.00
Cantabile Singers:
TOTAL: $330
First Payment
*
Yes, I acknowledge my responsibility to make the first payment
I understand that a first payment of $100.00 (a non-refundable payment)
must be received for any participation to begin with CCGC.
This payment is due
January 8, 2018
and will be collected at the first rehearsal.
Final Payment
*
Yes, I acknowledge my responsibility to make the second and FINAL payment
I understand that the second and FINAL payment will be due January 22, 2018. Girls with outstanding balances after January 22, 2018 will be suspended from CCGC unless alternative payment arrangements have been made.
All Checks should be made payable to CCGC.
*
I understand all checks should be payable to CCGC.
I further understand that the CCGC office does not accept credit cards; however, I can pay via credit card by going to the Meredith Accounting Office where I will be charged a convenience fee my for credit card payment. CCGC encourages payment by check.
Withdrawal Policy
*
I understand no refunds will be made for withdrawals from CCGC.
Late Fees
*
I understand a late fee will be applied to my account if payment is not received by February 5, 2018.
I further understand my daughter will not be allowed to participate in rehearsal until payment is made.
Photography and Video Release
*
I agree to the photography and video release
Adult choir personnel will be taking or posting photographs or video footage to the CCGC website or to social media for marketing purposes. In addition, singers will also be posting photographs or video footage to various social media. I hereby authorize Meredith College and those acting pursuant to its authority to:
Record my child’s likeness and voice in any medium; and
Use my child’s name in connection with these recordings; and
Use, reproduce, exhibit or distribute in any medium these recordings for any purpose that the Meredith College deems appropriate, including promotional or advertising efforts.
I release Meredith College from liability for any violation of any personal or proprietary right I or my child may have in connection with such use. I understand that all such recordings, in whatever medium, shall remain the property of the University. I have read and fully understand the terms of this release.
Indemnity and Release of Liability
*
I agree to release, waive, defend, indemnify, and forever discharge Meredith College, its agents, employees, and officers, and trustees from any and all claims or liability for injury or damages (including loss or damage to property) arising from or attributable to my child’s participation in or travel associated with the Capital City Girls Choir, unless it is due to willful fault or gross negligence on the part of Meredith College.
I have read the notice above and agree to the terms listed:
*
First
Last
By entering your name here you are digitally signing this document and have agreed to the terms herein.
Please enter the letters and numbers below
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