Mankato Childrens Chorus Online Registration

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Yearly tuitions are as follows: Training Choir: $330, Intermediate Choir: $330, Allegro Choir: $330, Concert Choir: $420, Melodia Choir: $480. If you are in need of financial assistance, these options are available: 1. https://www.mankatounitedway.org/connecting-kids , 2. https://www.plrac.org/youth-scholarships , 3. https://mnafterschool.org/apply . If you do not qualify through these options and still need assistance, email mcc@mankatochildrenschorus.org with the Subject: Scholarship.

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Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Other Than Parent or Guardian/ Name /Phone # /Relationship*

Health Insurance Carrier / Policy Number / Primary Doctor / Doctor Phone #*

Contact #1

Contact #1 First Name*

Last Name *

Relationship to Student(s)*

How Can We Contact You?

Home Phone

Work #

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Relationship to Student(s)

How can we contact you?

Home Phone

Work #

Cell # * Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level at Time of First Rehearsal*

Disabilities*

Special Needs*

Allergies*

Medications (Leave blank if NONE)

Primary Doctor / Doctor Phone #*

Please select a choir for this student by clicking on the SELECT CLASS button below and then selecting the appropriate choir for this student. If you are enrolling multiple students, please select the ADD ANOTHER STUDENT button for each student. You should only select one class/choir per student.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level at Time of First Rehearsal*

Disabilities*

Special Needs*

Allergies*

Medications (Leave blank if NONE)

Primary Doctor / Doctor Phone #*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level at Time of First Rehearsal*

Disabilities*

Special Needs*

Allergies*

Medications (Leave blank if NONE)

Primary Doctor / Doctor Phone #*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level at Time of First Rehearsal*

Disabilities*

Special Needs*

Allergies*

Medications (Leave blank if NONE)

Primary Doctor / Doctor Phone #*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level at Time of First Rehearsal*

Disabilities*

Special Needs*

Allergies*

Medications (Leave blank if NONE)

Primary Doctor / Doctor Phone #*

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Please fill out BOTH of the following Payment Methods

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Card Number *

Exp Month *

Exp Year *

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Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

eCheck/Bank Draft

Bank Name *

Account Type *

Your Account Name * (Your name on your bank statement)

Bank Routing Number * (9-digit number)

Account Number *

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

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Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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Student #5 (Show-Hide Details)

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Required Policies

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