Momentum Choir

Thank you for your interest in Momentum Choir - a professional choir composed of adults with disabilities. We can't wait to get to know you more!
This is the registration form for both Momentum Choir (Niagara & Hamilton) in-person choir, and Momentum Without Borders, a Canada-wide virtual choir program.

* indicates required

Name *

Email Address *

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Participant's Birthday

Month / Day

Participant's Main Phone *

Emergency Contact

Emergency Contact's Email

Emergency Contact's Number

Agree to receive emails from Momentum Choir *

Extra Information

Add any information you wish to make Momentum Choi aware of

Momentum Choir In Person (Niagara/Hamilton) Or Momentum Without Borders - Virtual

Stay home if sick agreement

Agree to stay home if you feel unwell or exposed to Covid-19. State "AGREE"

Momentum Choir Members

Niagara
Hamilton
Vitural

Preferred format

HTML Plain-text

Momentum Choir's Registration Form