Atlantic Girls Choir 2018-2019 Registration
Email address *
Girl's Last Name *
Your answer
Girl's First Name *
Your answer
Rehearsal Location *
Date of Birth *
MM
/
DD
/
YYYY
Grade Fall 2018 *
Your answer
School Fall 2018 *
Your answer
Street Address *
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
MCP *
Your answer
Primary Contact/Guardian Name *
Your answer
Phone *
Your answer
Primary Contact/Guardian Cell Phone *
Your answer
Alternate Contact Name *
In case of emergency and the parent/guardian cannot be reached.
Your answer
Alternate Contact Phone Number
Your answer
Does your child require accommodations in any areas. (ie. physical disabilities, learning disabilities, special needs, etc.) that you wish to confidentially disclose in order for the Atlantic Girl Choir team to provide appropriate support? *
Your answer
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