Parent/Guardian Name

Parent/Guardian Email Address

Secondary Parent/Guardian Name

Secondary Parent/Guardian Email Address

Home Mailing Address Street

Home Mailing Address Street 2

Home Address State

Home Address City

Home Address Zip Code

Name for Primary Phone Number

Primary Phone Number

Name for Secondary Phone Number

Secondary Phone Number

Singer #1 Choir Singer #1 Choir Younger Choir (Grades 2-4) Older Choir (Grades 5-8) Kinder Choir (Grades K-1)

Singer #1 Birthday

Singer #1 Name*

Singer #1 School/Homeschool Network*

Singer #1 Grade*

Singer #1 T-Shirt Type* Singer #1 T-Shirt Type* *YouthAdult

Singer #1 T-Shirt Size*

Singer #2 (Please Select One) Singer #2 (Please Select One) I am not registering a second singer Younger Choir (Grades 2-4) Older Choir (Grades 5-8) Kinder Choir (Grades K-1)

Singer #2 Birthday*

Singer #2 Name*

Singer #2 School/Homeschool Network*

Singer #2 Grade*

Singer #2 T-Shirt Type* Singer #2 T-Shirt Type* *YouthAdult

Singer #2 T-Shirt Size*

Singer #3 (Please Select One) Singer #3 (Please Select One) I am not registering a second singer Younger Choir (Grades 2-4) Older Choir (Grades 5-8) Kinder Choir (Grades K-1)

Singer #3 Birthday*

Singer #3 Name*

Singer #3 School/Homeschool Network*

Singer #3 Grade*

Singer #3 T-Shirt Type* Singer #3 T-Shirt Type* *YouthAdult

Singer #3 T-Shirt Size*

Media Release for Minors* Media Release for Minors* I DO authorize GMCC to use and publish my child's/children's photograph(s), video and/or audio recording(s) for educational & marketing purposes. I DO NOT authorize GMCC to use and publish my child's/children's photograph(s), video and/or audio recording(s) for educational & marketing purposes.

My child is/children are familiar with ZOOM. (Rehearsals will be IN PERSON for 2023/2024. This is only asked as a contingency)* My child is/children are familiar with ZOOM. (Rehearsals will be IN PERSON for 2023/2024. This is only asked as a contingency)* Yes No

Do you wish to receive an invite to the private GMCC Facebook Group?* Do you wish to receive an invite to the private GMCC Facebook Group?* Yes No

If yes, what is your Facebook profile name?*

How did you hear about the GMCC?* How did you hear about the GMCC?* Returning GMCC Member Referral by a Friend or Family Member Saw Social Media Post Received Email Manassas Baptist Music Camp Other

Any Comments or Questions? Singer Allergies?