Children's Choir Registration
Date of Birth:
Street Address Line 2
State / Province
Postal / Zip Code
Home Phone Number:
Work or Cell Number:
Email Address for Child/Parent/Family
Name of Nanny or Babysitter if children will be brought to/from practice by them:
Nanny / Babysitter Phone Number:
Name of Emergency Contact:
Emergency Contact Phone Number:
Will the child be participating in the Handbell Ensemble:
Number of seasons child has now been in Immaculate Conception Choir:
Does child play an instrument?
Has he/she ever taken voice lessons?
Voice teachers name:
Does your child have any allergies?
If so, please explain in detail:
Should be Empty:
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