I am registering for: *

Junior Choir (grades 2-6)

Senior Choir (grades 7-12)

New or Returning Chorister *

New

Returning

CHORISTER / SINGER INFORMATION *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Chorister Phone (if any)

(###)

###

####

PARENT/GUARDIAN/EMERGENCY CONTACT *

First Name

Last Name

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone *

(###)

###

####

Alternate Phone

(###)

###

####

FREEDOM OF INFORMATION AND COPYRIGHT PERMISSION

I hereby grant permission to Lyrico Youth Choirs, on behalf of the student being registered to:

Record & Video my child/ward

Display / reproduce any of my child/ward's work

which are produced for non-profit, educational, and choir-related purposes during the student’s attendance at choir rehearsals and choir-related events. I understand the production(s)/ work(s) may be displayed on the choir’s website, shown on educational displays, Open Houses, In-service sessions, and other choir-related activities or displays in the community or choir publications. I hereby release, for publicity purposes, any photos or videos taken portraying my child. I also agree that information on this form may be used to create lists for the sole use of choir members and their families. By entering your name, you are providing your consent and acknowledgement to the above.

First Name

Last Name

Date

MM

DD

YYYY

VOLUNTEER OPPORTUNITIES

This association depends on VOLUNTEERS to make it a success. We hope that you will consider volunteering on a regular or periodic basis depending on your interests and availability. Please indicate where you can assist by inserting an "X" in the box.

EIRHCA Volunteer Board and Executive (meets once a month - first Monday of the month)

40th Anniversary Committee (help plan events and promotions of our 40th Anniversary)

Junior Choir Rehearsal Parent Helper

Senior Choir Rehearsal Parent Helper

Junior/Senior Choir School Tour Parent Helper - Fall 2024

Chaperone for Senior Choir Two-day Camp Nakamun Retreat - Winter 2024

Junior Choir School Tour Parent Helper - Spring 2025

Other - I will help with any volunteer opportunity required if I am available

CONFIDENTIALITY UNDERTAKING FOR VOLUNTEERS *

Information collected shall remain private and is collected and retained in accordance with the Freedom of Information and Protection of Privacy Act. The information will be used solely to determine your suitability as a volunteer for Lyrico Youth Choirs. Only the Executive Board Members will have access to this information. I agree to act as a volunteer with Lyrico Youth Choirs with the understanding that: • I shall keep confidential all personal and confidential information which I may have access to or become aware of in the course of my service. • I shall not disclose any such information to any individual without authorization from Lyrico Youth Choirs. • I shall not collect any personal information from individuals without being expressly authorized by Lyrico Youth Choirs in advance to do so. • Any records created by me in the course of my volunteer duties are the property of Lyrico Youth Choirs. • I shall relinquish to Lyrico Youth Choirs all control to any and such records immediately upon completion of my service. (by entering your name below, you are agreeing to this Confidentiality Agreement)

First Name

Last Name

Criminal Record and Child Welfare Record Declaration *

Have you ever been charged or convicted of an offence under the Criminal Code, Narcotic Control Act, Controlled Drug and Substance Act, Food and Drug Act or Firearms Act of Canada? (Individuals who have been granted pardons are not required to respond “yes” to this question.)

Yes

No

Have you ever been the subject of an investigation or order under the Child Welfare Act of Alberta or equivalent legislation in any other province or country?

Yes

No

If the answer to either question is “Yes” Lyrico Youth Choirs will be unable to accept your volunteer application. You may appeal this decision in writing to the President of the Board of Directors. The result of this appeal is final. *

By entering your name, you are attesting to the choices you made above

First Name

Last Name

PAYMENT METHOD *

Cheque (made payable to EIRHCA and mailed or dropped off at rehearsal)

E-transfer (send to elkislandchoirs@gmail.com)

Cash (bring to rehearsal or AGM)

Credit Card (an online invoice will be sent and will include a service charge to cover cc fees)