Membership Form - Chanctonbury Chorus

First Name *

Last Name *

First line of address *

Second line of address

Posttown *

Postcode *

Home Telephone(including dialling code)

Mobile Telephone

E-mail Address

Confirm Email Address

Emergency ContactIn the unlikely event of an emergency when at choir please contact:

First Name *

Last Name

Telephone *

VoiceSopranoAltoTenorBass

Previous singing experience (if any)

How did you hear of the Chorus?

Consent

I give permission for the Chanctonbury Chorus to:

1. Hold my contact details electronically and in hard copy and to retain any membership information. *YesNo

2. Use these details to contact me on Chorus business and with details of local music events. *YesNo

3. Use my image in publicity promoting the chorus and its activities. *YesNo

Your name *