Student Name
*
First Name
Last Name
Student age after June 1, 2020
*
Student date of birth
*
MM
DD
YYYY
Student grade, fall 2020
*
Student email address
Student cell phone
(###)
###
####
Student gender
*
T-shirt size
*
Parent/guardian name
*
First Name
Last Name
Parent/guardian email address
*
Parent/guardian cell phone
*
(###)
###
####
Parent/guardian home phone
(###)
###
####
Parent/guardian alternate phone
(###)
###
####
Parent/guardian address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Voice Part
*
Years of experience
Ensembles you currently participate in
Private teacher name
First Name
Last Name
Years of private study
Private teacher email address
Most advanced repertoire
Session
*
Check all that apply
Select one program
*
Select one package
*
Roommate requested
Discounts
A maximum of two discounts will be applied
Payment method
*
First time in our program?
*
Learned about the program
*
If other, please fill out below:
Please confirm the following
*
I understand that after June 1 no refunds or deductions for the cost of the program will be made for any reason including cancellation, late arrival, early departure, sickness or expulsion for disciplinary reasons as explained by the rules distributed upon arrival by Sing This Summer Inc., Amherst College, federal, state and local law. After submitting this form and the $100 deposit (non-refundable), registration is not complete until receipt of the registration packet and fee. The balance must be paid by June 1, 2020. Applications are accepted on a first-come, first-served basis. I understand all SING! participants are required to comply with camp and college rules and regulations and any federal, state, and local law. Violations or misconduct will result in immediate dismissal from camp without refund. The program is inspected and certified by the Massachusetts State Department of Health. Sing This Summer, Inc. does not discriminate on the basis of sex, race, color, national or ethnic origin, religion or physical handicap.
By checking this box I confirm that I have read and agree to the above "Terms and Conditions for Enrollment." I understand that this form is being submitted electronically and that my typed name below shall constitute my signature on this registration form. My signature and submission of this form indicate that I agree to the "Terms and Conditions for Enrollment."
Signature of Parent/Guardian: please type your full name
*
Date of submission
*
MM
DD
YYYY
