Choir Registration Adult Choir Registration Adult Choir Registration SINGER INFORMATION Name * First Name Last Name Preferred Pronouns * I am a * new member returning member Registering for the * Oakland Interfaith Gospel Choir - Season 37: 2022-2023 Oakland Interfaith Community Choir - Fall 2022 (Aug-Dec) Oakland Interfaith Community Choir - Spring 2022 (Feb-Jun) Email * Phone * (###) ### #### Complete Mailing Address * Birthday * MM DD YYYY T-Shirt Size * Select One S M L XL 2XL 3XL 4XL Other EMERGENCY CONTACT Contact Name * First Name Last Name Relationship to Singer * Emergency Phone #1 * (###) ### #### Emergency Phone #2 (###) ### #### COVID-19 Send proof of vaccination to health@oigc.org. Visit www.oigc.org/governance to see current COVID protocols for participation. Date Fully Vaxxed * Moderna/Pfizer: Enter the date of 2nd shot J&J: Enter the date of first shot MM DD YYYY Booster # * Booster Date * MM DD YYYY DEMOGRAPHICS Providing demographic information is optional. The data is used only for grant applications and reporting purposes. Whatever is shared will be in aggregate (i.e., without personal attribution to you). To see an example of how this information is used, visit www.oigc.org/governance. Faith/Spiritual Practice Ethnic Identity Check all that apply Asian American Black/African American Hispanic/Chicanx/Latinx Native American Pacific Islander White Other Gender Identity/Sexual Orientation Check all that apply Female Male Non-Binary Heterosexual Lesbian/Gay Transgendered Other LGBTQ Identified Thank you! Download PDF Form - Adult Choirs Youth Singer Registration Youth Registration STUDENT INFORMATION Name * First Name Last Name Preferred Pronouns * I am a * new member returning member Registering for the Oakland Interfaith Youth Choir - Season 37: Aug'22 to May'23 Oakland Interfaith Kids Choir - Fall 2022 (Aug-Dec) Oakland Interfaith Kids Choir - Spring 2023 (Feb-Jun) OYC Chamber Singers - Fall 2022 (Aug-Dec) OYC Chamber Singers - Spring 2023 (Jan-May) OYC Concert Chorus - Fall 2022 (Aug-Dec) OYC Concert Chorus - Spring 2023 (Jan-May) OYC Miracles - Fall 2022 (Sep-Dec) OYC Miracles - Spring 2023 (Jan-May) Email Phone (###) ### #### Complete Mailing Address * Birthday * MM DD YYYY T-Shirt Size * Select One YXS YS YM YL S M L XL 2XL 3XL Other School * Grade * Year Graduating High School * COVID-19 & MEDICAL INFORMATION Send proof of vaccination to health@oigc.org. Visit www.oigc.org/governance to see current COVID protocols for participation Date Fully Vaxxed * Moderna/Pfizer: Enter the date of 2nd shot J&J: Enter the date of first shot MM DD YYYY Booster # * Booster Date * MM DD YYYY Allergies/Medical Conditions * if none, enter N/A Medications In case of an emergency, I authorize OIGC staff to seek medical treatment for my child in the event the emergency contacts cannot be reached * Yes No GUARDIAN INFORMATION Primary Guardian * First Name Last Name Primary Guardian Email * Primary Guardian Phone * (###) ### #### Primary Guardian Address (if different from above) Is the Primary Guardian also an emergency contact? * Yes No Date Fully Vaxxed * Moderna/Pfizer: Enter the date of 2nd shot J&J: Enter the date of first shot MM DD YYYY Booster # * Date of Booster * MM DD YYYY Secondary Guardian (optional) First Name Last Name Secondary Guardian Email Secondary Guardian Phone (###) ### #### Secondary Guardian Address (if different from above) Is the Secondary Guardian also an emergency contact? Yes No Date Fully Vaxxed MM DD YYYY Booster # Booster Date MM DD YYYY EMERGENCY CONTACT Please complete if neither of the guardians have been identified as an emergency contact Emergency Contact Name First Name Last Name Relationship to Singer Emergency Phone #1 (###) ### #### Emergency Phone #2 (###) ### #### DEMOGRAPHICS Providing demographic information is optional. The data will be used for grant application and reporting purposes. Whatever is shared will be in aggregate (i.e., without personal attribution to you). To see an example of how this information is used, visit www.oigc.org/governance. Faith/Spiritual Practice Ethnic Identity Check all that apply Asian American Black/African American Hispanic/Chicanx/Latinx Native American Pacific Islander White Other Gender Identity/Sexual Orientation Check all that apply Female Male Non-Binary Heterosexual Lesbian/Gay Transgendered Other LGBTQ Identified Thank you! Download PDF Form - Youth Choirs
