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                                                                                                                                                                                                                                                              TRAININGS :: Open Choral Clinic Series :: Registration


                                                                                                                                                                                                                                                              Picture

                                                                                                                                                                                                                                                                Choral Clinic Registration Form

                                                                                                                                                                                                                                                              Confirmation

                                                                                                                                                                                                                                                              The names of all confirmed participants will be posted in the respective clinic webpages.

                                                                                                                                                                                                                                                              What to type in the registration form...


                                                                                                                                                                                                                                                              Clinic Details
                                                                                                                                                                                                                                                              Clinic Code / Clinic City / Nature of Participation (Indicate whether Choir or Observer.)

                                                                                                                                                                                                                                                              Example:
                                                                                                                                                                                                                                                              120303 / Laoag City / Choir

                                                                                                                                                                                                                                                              E-mail
                                                                                                                                                                                                                                                              Write only one (1) e-mail address in case you have two or more.  Multiple addresses in this box will prevent your registration from reaching us.

                                                                                                                                                                                                                                                              Choir Information
                                                                                                                                                                                                                                                              Name of Choir (This will be the name that will be printed in the Certificate of Participation.) 
                                                                                                                                                                                                                                                              Choir Type
                                                                                                                                                                                                                                                              Name of Conductor (This will be the name that will be printed below the name of the Choir in the Certificate of Participation.) 
                                                                                                                                                                                                                                                              PCDA Membership Number / Status of Conductor (Write "Non-member" if not affiliated with PCDA.)
                                                                                                                                                                                                                                                              Name of Person Submitting This Form (Skip this if the same as Conductor.)
                                                                                                                                                                                                                                                              Number of Additional Sessions Requested (Subject to approval and scheduling of Clinic Coordinator.  Skip this if Choir is only availing of one session.  A session is one-hour long.)
                                                                                                                                                                                                                                                              Mobile Number / Contact Person

                                                                                                                                                                                                                                                              Choir Types
                                                                                                                                                                                                                                                              • MC - Mixed / AM - All-Male / AF - All-Female
                                                                                                                                                                                                                                                              • I - Adult / II - Youth / III - Children's
                                                                                                                                                                                                                                                              • 1 - College / 2 - High School / 3 - Grade School / 4 - Church / 5 - Corporate / 6 - Government / 7 - Others

                                                                                                                                                                                                                                                              Example:
                                                                                                                                                                                                                                                              Philippine National Choral Ensemble
                                                                                                                                                                                                                                                              MC - I - 6
                                                                                                                                                                                                                                                              Jonathan M. Velasco
                                                                                                                                                                                                                                                              00088 / Active
                                                                                                                                                                                                                                                              Irvinne G. Redor
                                                                                                                                                                                                                                                              Two (2) sessions
                                                                                                                                                                                                                                                              0917 876 5432 / Irvinne G. Redor 

                                                                                                                                                                                                                                                              Observer Information
                                                                                                                                                                                                                                                              Name of Observer (This will be the name that will be printed on the Certificate of Attendance.)
                                                                                                                                                                                                                                                              PCDA Membership Number / Status of Observer (Write "Non-member" if not affiliated with PCDA.)
                                                                                                                                                                                                                                                              Name of Person Submitting This Form (Skip this if the same as Observer.)
                                                                                                                                                                                                                                                              Mobile Number of Observer
                                                                                                                                                                                                                                                              Number of Days / Date/s (For clinics held in 2 days or more, an Observer may register for additional days.  Registration fee is multiplied by the number of days to be attended.)

                                                                                                                                                                                                                                                              Example:
                                                                                                                                                                                                                                                              Juan De la Cruz
                                                                                                                                                                                                                                                              Non-member
                                                                                                                                                                                                                                                              0917 876 5432

                                                                                                                                                                                                                                                              Two (2) days / March 3 & 4  

                                                                                                                                                                                                                                                              Payment Details
                                                                                                                                                                                                                                                              Amount / Transaction Code
                                                                                                                                                                                                                                                              The Transaction Code is the entire third line of machine validation printout on your bank deposit slip starting with the date in <mm-dd-yy> format and time in <hh:mm:ss> format  followed by four alpha-numeric codes.  Registration must be submitted five (5) calendar days before the clinic date to qualify for the Pre-paid rate.

                                                                                                                                                                                                                                                              Example:

                                                                                                                                                                                                                                                              PhP700 / 01-20-11 15:45:03 021N 48 2795 614  
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