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:*
  • Maryland - Asbury Methodist Village Encore Chorale $175
  • Maryland - Columbia Encore Chorale $175
  • Maryland - Encore Chorale of Frederick $175
  • Maryland - Encore ROCKS Annapolis $175
  • Maryland - Encore ROCKS Towson $175
  • Maryland - Margaret Schweinhaut Senior Center Encore Chorale $175
  • Maryland - Southern Maryland Encore Chorale $175
  • Maryland - Towson Encore Chorale $175
  • Virginia - Alexandria Encore Chorale $175
  • Virginia - Encore Chorale of Reston $175
  • Virginia - Encore ROCKS Alexandria $175
  • Virginia - Encore ROCKS Fairfax $175
  • Virginia - Fairfax Encore Chorale $175
  • Virginia - Lansdowne Woods of Virginia Encore Chorale $175
  • Washington DC - Capital Encore Chorale $190
  • Washington DC - Encore ROCKS DC $190
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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