New York City Spring 2018 Registration

                                           

Contact Information

Country*
State / Province*
Address*
City*
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Email*
Confirm Email*
Home Phone*
Mobile Phone*

(Please enter your phone numbers in the following format xxx-xxx-xxxx)

 

Locations

I would like to register for:*
  • Encore Chorale NYC Midtown - 5th Avenue Presbyterian Church, Mondays 1-2:30pm - $220
  • Encore ROCKS NYC Lincoln Square - New York Society for Ethical Culture, Wednesdays 1-2:30pm - $220
This is how I will make my payment:*
  • I will mail in a check.
  • I will pay at the first rehearsal.

Please make checks payable to Encore Creativity for Older Adults. 

Checks can be mailed to:

Encore Creativity for Older Adults

5419 Deale Churchton Rd #102

Churchton MD 20733

Other Information

Voice Part*
  • Alto
  • Bass
  • Soprano
  • Tenor
Birthdate

(Please enter your birthdate in the following format mm/dd/yyyy)

Emergency Contact Name*
Emergency Contact Phone #*
Additional Comments

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