Children's Choir Registration Form

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- Youth Choirs
  Registration and Permission Form
  2016-17
- Chorister's Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 11.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Grade REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 5.
- Street Address Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- PARENT INFORMATION
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parent Preferred Phone REQUIRED Please fill out this field. Please enter a phone number.
- Parent Alternative Phone REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- EMERGENCY CONTACT (OTHER THAN NAMED PARENT)
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Preferred Phone REQUIRED Please fill out this field. Please enter a phone number.
- Alternative Phone REQUIRED Please fill out this field. Please enter a phone number.
- PERMISSION
- I give my son/daughter (named above) permission to participate in the Parish Youth Choir of the Parish of the Holy Eucharist.
  
  If my child lives in Yarmouth, I give permission for my child to ride the bus from Rowe School or Yarmouth Elementary School directly after school on Thursday afternoons to Sacred Heart Church.
- I Agree Please select this field.
- I give permission to have my child's photo taken for group displays at church and on-line. REQUIRED Yes No Please fill out this field.
- Date REQUIRED Please fill out this field. Please enter a date.
- Enter your e-mail to receive confirmation that your form has been submitted. REQUIRED Please fill out this field. Please enter an email address.
- Your form is not complete until you click the Submit button. Please click only once to avoid submitting duplicate forms.
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Children's Choir Registration Form

Youth Choirs Registration and Permission Form 2016-17

Chorister's Information

PARENT INFORMATION

EMERGENCY CONTACT (OTHER THAN NAMED PARENT)

PERMISSION

Youth Choirs
Registration and Permission Form
2016-17