Music Ministry Children Choir Form

|||

Facebook Instagram YouTube

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Child First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent or Guardian Name REQUIRED Please fill out this field. Please enter valid data.
  
  Driver’s License Information of the Parent or Guardian in charge to pick up your child after rehearsal REQUIRED Please fill out this field.
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Does Your Child have any allergies? Please name them below REQUIRED Please fill out this field.
  
  Does your child have any special needs or a medical condition we should be aware of? Please, explain
  
  Has your child ever sung in a Choir before? REQUIRED Yes No N/A Please fill out this field.
  
  If the answer is Yes, would he/she be interested in playing in the children’s orchestra if needed? Which level is he/she?
  
  Parent or Guardian Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.