Registration Form

All new and returning chorus participants must register. Upon registration, parents are full Members of the ACC and belong to the growing group of mentors who help our choristers thrive and grow through learning and working together.
(please note asterisks indicate a required field)

 
Please select from the following options:
Chorister's Basic Information *
Chorister's Basic Information
Address (where chorister resides) *
Address (where chorister resides)
Which Tier Group Is Your Child? *
Please indicate which tier group the Artistic Director has selected for your child
Primary Parent/Guardian Full Name *
Primary Parent/Guardian Full Name
Please provide accurate information as the chorus will use this information for all chorus and emergency contacts
Primary Phone Number *
Primary Phone Number
Secondary Parent/Guardian Full Name
Secondary Parent/Guardian Full Name
Secondary Phone Number
Secondary Phone Number
Emergency Contact 1: Full Name *
Emergency Contact 1: Full Name
Please complete all information for 2 emergency contacts. Emergency contacts MUST be adults other than those listed as Parents/Guardians above.
Emergency Contact 1: Primary Phone Number *
Emergency Contact 1: Primary Phone Number
Emergency Contact 2: Full Name *
Emergency Contact 2: Full Name
Emergency Contact 2: Primary Phone Number *
Emergency Contact 2: Primary Phone Number
Health conditions Including ADHD, Allergies, Asthma, Diabetes, Hearing problems, Heart issues, Physical disabilities, Seizures, Vision problems, etc.
MEDIA RELEASE *
The Arlington Children’s Chorus (ACC) would like your child to participate in any videotape, motion picture, audio recording or still photography productions that may involve the use of your child’s likeness and voice. Such productions may be used for promotional purposes or sold for educational purposes by The Arlington Children’s Chorus and may be copied, copyrighted, edited and distributed by ACC. You have the right to object to the use of your child’s likeness, name and/or voice in these productions. If you object to this Media Release please choose I OBJECT below and a member of the ACC will contact you to discuss the options.
Publication of Name *
The ACC lists your child's name in program guides, which include the program guide at the Kennedy Center's Nutcracker performance. The ACC will never publish the name of your child on any public document or public site. If you do not want your child's name to be published in any program guide, you may opt-out below and your child's name will NOT be in the ACC programs or on the Nutcracker Program Guide.