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YOUTH Choir
Registration Form

- Ministries

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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 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 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 Please enter a phone number.
- Alternative Phone REQUIRED 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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Parish of the Holy Eucharist

Falmouth, Freeport, Gray & Yarmouth, ME

YOUTH Choir
Registration Form

Chorister's Information

PARENT INFORMATION

EMERGENCY CONTACT (OTHER THAN NAMED PARENT)

YOUTH Choir Registration Form

Chorister's Information

PARENT INFORMATION

EMERGENCY CONTACT (OTHER THAN NAMED PARENT)

YOUTH Choir
Registration Form