Choir Registration Form

Select Program:*

SToL Youth Choir (Ages 7+)Traditional Choir (Ages 18+)Hispanic Choir (Ages 18+)Not Sure / To Be Confirmed

Chorister Information

Name*

First NameLast Name

Birth Date*

MonthDayYear

Grade

* As of September 1st

Name of School

Chorister's Email Address *

Please use a parent's if child does not have their own. Giving child's email gives us permission to send emails relating to choir activities

Address*

Street Address

Street Address Line 2

CityState

Postal Code

Phone Number*

Area CodePhone Number

Can we send texts to this phone number?*

YesNo

Parent/Guardian #1 Information

Youth Choir Participants Only *

Name

First NameLast Name

Primary Number

Area CodePhone Number

Alternate Number

Area CodePhone Number

Primary E-mail*

Alternate Email

example@example.com

Parent/Guardian #2 Information

Youth Choir Participants Only

Name

First NameLast Name

Primary Number

Area CodePhone Number

Alternate Number

Area CodePhone Number

Primary E-mail

example@example.com

Alternate Email

example@example.com

Alternate Contact Information

Youth Choir Participants Only

(Please indicate who can be contacted in the event the parent/guardian cannot be reached)

Alternate Contact's Name

First NameLast Name

Relationship

Phone Number

Area CodePhone Number

We are interested in knowing if you/your child has had any previous musical training or experience. Please tell us if they have taken music lessons, voice lessons, previously been in a choir, musical theatre etc.

Email Permission:

Our primary method of communication to choir members/their parents is through email, this includes important information about upcoming rehearsals, Masses, and special Liturgies. If you do not receive emails from the St. Therese Music Ministry by the end of September, please contact us at stolmusicministry@gmail.com

Check Box to Confirm*

I consent to receiving communication from St Therese of Lisieux Music Ministry at the email addresses provided on this form.

Media Permission:

One of the primary objectives of the St Therese of Lisieux Music Ministry is to give choristers the opportunity to perform at Mass and special Liturgies. As a result it is impossible to control situations in which a chorister may be photographed or videotaped. SToL Music Ministry has an active Facebook account and the Parish has an active YouTube channel where Liturgies are streamed, and images/videos from choir activities are posted regularly. However, the name(s) of the chorister(s) in the images/videos is not made public.

Check Box to Confirm*

I consent to myself/the child I am registering being photographed and/or videotaped and I give permission for the video and photographic images to be used in conjunction with events that include St Therese of Lisieux Choirs.

2021-2022 Registration

Email Permission:

Media Permission: