SUMMER 2023 REGISTRATION FORM Please enable JavaScript in your browser to complete this form.Choose your class *Solo ExperienceSummer ChoirFor Future (Music) EducatorsMusical Building BlocksSINGER INFORMATIONSinger First Name *Singer Last Name *Nickname (what you'd like to be called at rehearsal)Singer EmailBirthdate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Grade in Fall 2024 (summer choir) *5 (only if continuing MYC singer)5 (only if continuing MYC singer)6789Grade in Fall 2024 (solo experience)6 (only if continuing MYC singer)789101112graduated in spring 2024Grade in Fall 2024 (future music educators) *1112College - 1st yearCollege - 2nd yearCollege - 3rd yearCollege - 4th year/beyondGrade in Fall 2024 (Building Blocks) *9101112(graduated)Race/EthnicityAlaskan nativeAmerican IndianAsianBlack; African AmericanHispanic; Latino; ChicanoHawaiian native; Pacific IslanderWhite; CaucasianOtherI prefer not to respondSinger's preferred pronouns *she/herhe/himthey/themMy preferred pronouns are not listed; I'll add them in the field below.We welcome students of all gender identities with a desire to sing. Let us know your preferred pronouns so we can address you accurately.Preferred pronouns (not listed above)ADDITIONAL INFORMATION: SOLO EXPERIENCEChoose oneThis will be my first time working on a solo.I have worked on a solo by myself or with my school music teacher.I've worked on a solo with my private voice teacher.Private voice teacherPlease list any solo music you have studied or performed here - from the WSMA list or otherwise. ADDITIONAL INFORMATION: FOR FUTURE (MUSIC) EDUCATORSWhat do you hope to learn from this class? *If you are currently studying music (education), list your school here. Do the same if you'll be entering college this fall and considering education. ADDITIONAL INFORMATION: SUMMER CHOIRChoose oneI'm a continuing MYC singer.I'm totally new to MYC.I've sung with MYC in the past, but not the most recent semester.ADDITIONAL INFORMATION: MUSICAL BUILDING BLOCKSChoose all that apply:I'm totally new to reading musical notationI'm ok with reading musical notationI'm pretty confident in reading musical notationI play piano and have taken piano lessonsI play another instrumentPARENT/GUARDIAN INFORMATION (1)Name *FirstLastRelationship to singer *Please provide your primary email address *EmailConfirm EmailPhone (Primary) *Phone typeThis is a mobile phoneThis is my work phonePhone (Secondary)Phone typeThis is a mobile phoneThis my work phoneParent/Guardian 1 Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSinger lives at this address:part timefull timePARENT/GUARDIAN INFORMATION (2)NameFirstLastRelationship to singerPlease provide your primary email addressPhone (Primary)Phone typeThis is a mobile phoneThis is my work phoneParent Guardian 2 Address if differentAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSinger lives at this address:part timefull timeEMERGENCY CONTACTIn the event we cannot reach a parent/guardian, please provide a non-parent Emergency Contact. Name *FirstLastRelationship to singerDay phone *Evening phoneEmergency Contact EmailADDITIONAL CORRESPONDENCE, IF NEEDEDThe parent/guardian(s) listed above will automatically be added to our summer email list and receive all other emails related to the singer's membership. If there are other important adults to be included in email correspondence related to this member’s participation in MYC, please list them here. Skip this section if there are no additional email addresses needed.NameFirstLastRelationship to singerEmailNameFirstLastRelation to singerEmailPlease share any other details that you feel would be helpful for MYC to understand in order to provide the most welcoming environment for this student.PHOTO/AUDIO/VIDEO RECORDING: We understand that MYC may, from time to time, photograph and/or record during class and that MYC owns all rights to photographs and audio/video recordings, including those that may include our child/myself. We understand that these photographs and/or audio/video recordings may be used by MYC in promotional materials and grant permission to MYC to use images or recordings of our child/myself for this sole purpose. *I have read and agree to the recording release.Please check with us before publicly sharing a video or photo image of our student.Payment/checkoutChoose your classdropdown - $0.00Summer choir - $210.00For Future (Music) Educators - $420.00Solo Experience - $210.00Musical Building Blocks - $210.00Choose your method of paymentI would like to pay by Credit Card or with PayPal.I will be applying for financial assistance.I would like to pay by check.Please make checks out to Madison Youth Choirs and mail to 1055 E Mifflin; Madison, WI 53703WebsiteSubmit