Kids Summer Choir Sign-Up

Kids Summer Choir Sign-Up

Register your child for the summer choir and provide important safety information.
Welcome to Kids Summer Choir! This is an opportunity for children from our community to enjoy learning and singing gospel music. This kids clinic is free and served by volunteers. It is hosted by Stephanie White, Youth Pastor at Rapha Ministries Family Center. Rehearsals will be held Wednesdays from 1 - 3pm, beginning July 1st at the Chapel inside the WIDU radio facility, located at 2520 Murchison Rd, Fayetteville, NC. Rehearsals will culminate in a children's performance during Rapha Ministries' Family Summit, Saturday, August 8th, 11am at Cliffdale Recreation Center. Parents are welcome to stay for all rehearsals. Should a parent depart the campus, notify a team member first. To partner with parents in creating the most comfortable environment for their children with special needs, we request that a parent or designated caregiver for her/him/them remain on campus to assist if they need extra support. To ensure the safety of all children, if a child is not picked up by 3pm and all emergency contacts are unreachable, we are required to contact local authorities to ensure the child is properly cared for. Give us a call for any questions you may have or details that are unclear at 843.209.6848. We look forward to making this a special season for you and your kiddo!
Child’s Full Name

First NameLast Name
Age
Birthdate

MonthDayYear
Date
Allergies (if any)
Special Needs
Please list any special needs.
Music Experience

Other
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Authorized Pickup Persons (names)
Approval to have child transported to hospital if needed?
If you approved transport, please provide your signature or typed name below.
Primary Care Provider Name
Primary Care Provider Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Special Requests
Should be Empty: