Carol Choir Enrollment 2017-2018
For 2nd Grade - 5th Grade - Rehearsal Location: Neighborhood Room E3
Child's Name
*
First Name
Last Name
Preferred Phone # for contact
*
Email address
*
Parents' Names
*
First Names
Last Name
Parents' Names
First Names
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address of parent if not living with child
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please check
*
I give my child permission to participate in the program including being photographed, (with no name), and to receive first aid if necessary.
Child's Birthdate
Please select a month
January
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Month
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Day
Please select a year
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Year
Age
Sex
Male
Female
Person who will be transporting my child to choir, if other than parent, please include phone and email address:
Grade in Fall 2017
Please Select
2nd Grade
3rd Grade
4th Grade
5th Grade
School Name
HS Graduation Year
About Your Family: Names and ages of other children in the family
About Your Family: Information to help the choir directors understand your child and his/her needs (family situations: new baby, moves, losses, death, divorce, remarriage, etc.)
About Your Child: Health, allergies, learning disabilitis, emotional characteristics, fears, etc.
Parents: I would be willing to serve:
Help out during rehearsal
Help plan end-of-year Choir dinner
Take photos
Other special events (See Director for details)
Assist Carol Choir on singing Sundays
For more information contact: Bev Bailey for Carol Choir at
bevs.1365@gmail.com
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