Children's Choir Registration
Child Name:
First Name
Last Name
School Attending:
Grade:
Date of Birth:
Height:
Parent/Guardian Name:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number:
-
Area Code
Phone Number
Work or Cell Number:
-
Area Code
Phone Number
Email Address for Child/Parent/Family
example@example.com
Name of Nanny or Babysitter if children will be brought to/from practice by them:
Nanny / Babysitter Phone Number:
-
Area Code
Phone Number
Name of Emergency Contact:
Emergency Contact Phone Number:
-
Area Code
Phone Number
Will the child be participating in the Handbell Ensemble:
Yes
No
Number of seasons child has now been in Immaculate Conception Choir:
Does child play an instrument?
Yes
No
Which Instrument(s):
Has he/she ever taken voice lessons?
Yes
No
Voice teachers name:
Does your child have any allergies?
Yes
No
If so, please explain in detail:
Submit
Should be Empty: