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Survey Form - Faithfully Making Music - PPC
Thank you for letting us know your interest for group music lessons with Faithfully Making Music, through Payson Park Church, beginning October 2024. You may register all your children in your family on this one form.  If you have questions, please contact Pei at CommunityMisicDir@PaysonPark.org.

Indicate which groups your FIRST child is interested in, or registering for; *
Young Person Name (One) First Name *
Young Person Name (One) Last Name *
Young Person (One) Age *
Young Person (One) Date of Birthdate *
Indicate which groups your SECOND child is interested in, or registering for;
Clear selection
Young Person (Second) First Name
Young Person (Second) Last Name
Young Person Name (Second) Age
Young Person Name (Second) Birthdate
Indicate which groups your THIRD child is interested in, or registering for;
Clear selection
Young Person (Third) First Name
Young Person (Third) Last Name
Young Person (Third) Age
Young Person (Third) Birthday
Street Address *
City *
State *
Zip Code *
Parent (Guardian) One Name *
Parent (Guardian) One Cell Phone *
Parent (Guardian) One cell EMAIL *
Parent (Guardian) Address (If different from child)
Parent (Guardian) Two Name
Parent (Guardian) Two Cell Phone
Parent (Guardian) Two EMAIL
Which Parent (Guardian) should receive emails?  *
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