Proclamation Choir Conference Registration

Proclamation Youth Choir

Please fill in the form below. We'll contact you as soon as possible.
Full Name*

First NameLast Name
Date of Birth

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
T-Shirt size?*
School Attending or Occupation
Health Insurance Company
Allergies or Medical Conditions
EMERGENCY CONTACT INFORMATION
Emergency Contact

First NameLast Name
Relation
Phone Number

Area CodePhone Number
PLEASE TELL US ABOUT YOUR CHURCH BACKGROUND
Do you attend church regularly?
If so, where do you attend?
PLEASE TELL US ABOUT YOUR MUSICAL EXPERIENCE
What part do you sing?
Do you play an instrument?
If yes, what do you play?
PLEASE PROVIDE CONSENT BELOW
(If registrant is under the age of 18) As a parent or legal guardian of the named registrant in Proclamation Choir Conference, I hereby give my child permission to participate in the program.
Please Consent
I release Proclamation Youth Choir, Crosspoint Fellowship, its directors, elders, volunteers, affilliates, and the host facilities from all liability associated with me or my child participating in the program.
Please Consent
Parent/Guardian Signature
Proclamation Youth Choir & Proclamation Choir Conference

is an outreach ministry of Crosspoint Fellowship.

www.cpfellowship.org
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Proclamation Youth Choir