Ukulele Church Registration

Ukulele Church Registration

A Sunday Hour of Christian Song, Prayer, Art and Ukulele Learning
Sundays

12:30pm Atlantic Time

11:30am Eastern Time

10:30am Central Time

9:30am Mountain Time

8:30am Pacific Time

Thanks for telling us who (and where) you are. Please fill out a separate registration for each registrant.

We'll see you on Sunday!
Ukulele Church is sponsored by the Atlantic Regions of The United Church of Canada

and supported by the Edge Foundation of the United Church of Canada

and the Mary Stuart van Mater Fund
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
E-mail*
example@example.com
Age*
(Adults may write 100)
Your birthday (month and day)*
I am a:*

Child/YouthParentGrandparent or other family memberInterested observer
Do you know how to play ukulele?*

I'm a beginnerI can play C, Am, F, G7 chordsmore experienced than thatOther
Anything you would like us to know? (special needs, diversability, scheduling, home story, recent events...)
Would you allow your image or video clip to be used for Ukulele Church purposes, including web presence, poster or workshop video demos, etc

YesYes, without nameI'll talk to the leaderNo
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