Spring 2019 Semester Registration

                                             

Contact Information

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

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

 

Locations

Please choose one or more of the following locations.  Type the number "1" in each location chosen and your total will calculate.

Quantity
Price
Total
Asbury Methodist Village Encore Chorale
X
$
175.00=
$
0

Columbia Encore Chorale
X
$
175.00=
$
0

Encore Chorale of Frederick
X
$
175.00=
$
0

Encore ROCKS Annapolis
X
$
175.00=
$
0

Encore ROCKS Columbia
X
$
175.00=
$
0

Margaret Schweinhaut Senior Center Encore Chorale
X
$
175.00=
$
0

Southern Maryland Encore Chorale
X
$
175.00=
$
0

Towson Encore Chorale
X
$
175.00=
$
0

Encore Chorale of NYC Midtown
X
$
295.00=
$
0

Encore ROCKS NYC Midtown
X
$
295.00=
$
0

Alexandria Encore Chorale
X
$
175.00=
$
0

Encore Chorale of Reston
X
$
175.00=
$
0

Encore ROCKS Alexandria
X
$
175.00=
$
0

Encore ROCKS Fairfax
X
$
175.00=
$
0

Fairfax Encore Chorale
X
$
175.00=
$
0

Capital Encore Chorale
X
$
190.00=
$
0

Encore ROCKS DC
X
$
190.00=
$
0

Final Total:
$
0
If you are a new singer, how did you hear about Encore?
Voice Part*
  • Alto
  • Bass
  • Soprano
  • Tenor
Birthdate

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

Emergency Contact Name*
Emergency Contact Phone #*

(Please enter your credit card number below without dashes)

By registering for this program, I grant to Encore Creativity Corporation (Encore), its representatives and employees the right to take photographs of me or create video content that includes me in connection with Encore concerts and other program activities. I authorize Encore to copyright, use and publish the same in print and/or electronically. I agree that Encore may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

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