ARPA Choir
(Australian Retired Persons Association [SA] Inc.)
Application/membership form

Surname....................................................................
Title: Mr./Mrs./Miss/Ms
Forenames.....................................................................................
Postal Address...............................................................................
.............................................................................................................................
Phone (H)....................................................Mobile............................................... Email...................................................................................

ARPA membership number............................................

If you are not currently a member of ARPA, please join asap
(Membership form available from Choir Co-ordinator)

The following information is optional but would be helpful to our volunteers:
Residential address, if different from above.......................................................................
.......................................................................................................................................
Date of Birth........................

Do you check your email frequently enough that we can email non-urgent information to you?..........

In an emergency, please contact:
Name.....................................................Phone......................Relationship...............................
Dr............................................................................................................................................
Do you carry medication on you for use in an emergency? Y/N
(You will be supplied with a form on which you can confidentially record full medical details for use in an emergency.
This is kept in a sealed envelope in your music folder.)

Voice (Soprano, Alto, Tenor, or Bass)...................................................................
Do you read music?................................................................(This is not essential, especially if you can hold a tune.
You are welcome to use a tape-recorder during rehearsals.)
If previous experience in choral singing, with which choir(s)........................................................................
.................................................................................................................................................................
Where did you find out about the ARPA Choir?.........................................................................................
..................................................................................................................................................................

Signed.............................................................................Date.......................................................


For office use only:
Information Sheet.................Emergency medical Sheet...............Current Schedule................Current Members List..............