Kids Choir Registration 17-18
Student Name
*
First Name
Last Name
Grade
*
Age
*
School
Date of Birth
*
T-Shirt Size
*
Parent Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
List any allergies, medical conditions, or specials needs we need to be aware of:
Submit
Should be Empty: