Registration Application

Choir School 2007

Diocese of Fredericton
School of Church Music

Visit the Choir School Web site for registration details.

All information is held in confidence.
Please submit a separate application for each chorister.
All information is required including the medical form for junior choristers.

ALL CHORISTERS
Application:	Junior chorister Adult chorister
First name:
Last name:
Address:		City/town/village:
Postal code:		Telephone:
E-mail:
Parish:
Contact, Parent/Guardian		City/town/village:
Postal Code:		Telephone:
This is my:	year at choir school
Roommate:
T-shirt size:	small medium large extra large x extra large
Adult t-shirt?	yes no Adult t-shirt $5 extra
Adult arrival:	Thursday evening Friday evening

FEES
Please check all items that apply
Junior Chorister:	Resident ($295) Day ($195)
Adult Chorister:	Resident ($195) Day ($105)
Late application:	After 25 May 2007 ($25)
Family discount:	$30 reduction for a chorister from the same family/household
Adult t-shirt:	Adults add $5
Adult arrival:	Adults arriving Friday evening deduct $50 (resident) $20 (day)
Application is not complete until payment is received by the Registrar
Payment:	Full $25 non-refundable deposit minimum, balance on arrival
Make cheques payable to: School of Church Music Mail to: Jean Taylor, Registrar, 85 Gibbon Road, Rothesay NB E2H 1R4 jrt85gib@yahoo.ca

MEDICAL - Required for junior choristers, optional for adult choristers
Gender:	Male Female	Birth date yy/mm/dd
Family doctor:
Any special needs:
Any existing conditions of which the nurse should be aware :
Date of last tetanus shot:		Allergies (food or other
Physical disabilities:		Specify prescriptions the chorister will bring:
Who will be meeting your child at the end of Choir School?		Where? Fredericton Saint John

SUBMISSION
Junior chorister's parent/guardian will be required to sign the following Waiver at the time of registration: I understand that Choir School involves a wide range of physical activities, including trips off campus, and that all due caution will be observed by all staff members. However, I hereby release Choir School and its staff from any liability for accidents or personal losses during the week of Choir School, unless caused by proven negligence of staff. Yes No
Please make certain all information is completed and press the submit button below to send your application. You should receive an e-mail confirming your submission. Confirmation of application will be received from the Registrar following receipt of payment/deposit.

08 May 2007