Online Choir Registration Form Please fill out the form below to register. How many choristers are you registering?(Required)CHOIR FEE $75 per term for each adult chorister. Third adult is free. Spring/Winter Term: January 18 – May 10, 2023 1 Chorister 2 Choristers 3 Choristers CHORISTER #1Name First Last PhoneEmail Address I am a: Student Friend of the choir Person with memory loss Caregiver / Family member Relationship to Person with memory loss: How do you know about Voices in Motion Choirs:Past Choir MemberAdvertisement/Social Media/newsReferred by SomeoneOther (please elaborate):Please Elaborate Who were you referred by? CHORISTER #2Name First Last Same contact information as Chorister #1? Yes No Your Phone NumberYour Email Address I am a: Student Friend of the choir Person with memory loss Caregiver / Family member Relationship to Person with memory loss: CHORISTER #3Name First Last Same contact information as Chorister #1? Yes No Your Phone NumberYour Email Address I am a: Student Friend of the choir Person with memory loss Caregiver / Family member Relationship to Person with memory loss: CHOIR LOCATIONS & TIMESEdelweiss Club 108 Niagara St, Victoria, BC Rehearsal Time: Wednesday's from 10:30am - noonSt. Andrew's Regional High School 880 McKenzie Ave, Victoria, BC Rehearsal Time: Wednesday's from 2:30-4:00pm Please select the location and time you'd prefer to rehearse. I'd like to select St. Andrew's Regional High School I'd like to select Edelweiss Club Media ConsentI consent to the use of my photograph or likeness in any publication, videotape, pamphlet or promotion by Voices in Motion Choral Society (“Society) or other agencies which are promoting r furthering the mission of the Society. I understand that I will not receive separate compensation or consideration from the Society or anyone else for the permission granted in this Consent nor for the actual publication or use of my photograph or likeness. By signing this Consent, I understand that I am releasing the Society from any and all liability that may occur as a direct or indirect result of my photograph, the release of my identity, or the public relations materials, including but not limited to the use of any quotations. I understand that my personal contact information will NOT be released without my permission. I understand that my participation with the Society does NOT require me to agree to this media consent. Media Consent for Chorister 1 I consent I do not consent Media Consent for Chorister 2 I consent I do not consent Media Consent for Chorister 3 I consent I do not consent COVID PROTOCOL AGREEMENTPlease click each box to acknowledge that you agree, and then have each chorister add their name and signature below to show that they have understood the COVID protocol agreement.I have been fully vaccinated for COVID-19.(Required) Yes I have read and agree to the following COVID protocols:(Required) Yes I will communicate to others my social contact comfort level (handshake, hug, fist pump, wave, etc.). I will be respectful of each chorister’s preference with regards to COVID protocols. I understand that I will be obliged to follow mandated provincial protocols. 4. I recognize that rehearsing and performing with others may come with an element of risk for contracting covid and I understand that it is my personal responsibility to take the precautions that I feel are necessary. Chorister #1: Name Chorister #1: SignatureChorister #2: Name Chorister #2: SignatureChorister #3: Name Chorister #3: SignaturePaymentCredit Card Information(Required)Card Details Cardholder Name I would like to receive updates about Voices in Motion events, research, and the quarterly newsletter “Good Vibrations”. Yes CAPTCHATotal Interested in Voices in Motion News? Sign-up to receive updates about Voices in Motion events, choir registration, research and our quarterly newsletter, “Good Vibrations”. All we need is your name and email address. Success! First Name Last Name Email SIGN UP