PARISH of the HOLY EUCHARIST

Holy Martyrs, Falmouth • St Jude, Freeport
St Gregory, Gray • Sacred Heart, Yarmouth

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YOUTH Choir
Registration Form

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- YOUTH CHOIRS (choose one per chorister) YOUTH SCHOLA (Grades 5 - high school) JUBILATE SCHOLA (Grades 3 - 5) CHERUB SCHOLA (Grades K & 1)
- 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 Maximum 18 characters Please enter an integer (number) from 0 to 18.
- Birth Date Please enter a date.
- 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 Maximum 20 characters 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)
- Preferred Phone Maximum 20 characters Please enter a phone number.
- Alternative Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- 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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YOUTH Choir Registration Form

Chorister's Information

PARENT INFORMATION

EMERGENCY CONTACT (OTHER THAN NAMED PARENT)

YOUTH Choir
Registration Form