Little Traverse Youth Choir Registration Form
Singer's Name *
Your answer
Singer's Date of Birth
Your answer
Singer's Age
Your answer
Singer's e-mail
Your answer
Address
Your answer
Singer's Phone Number
Your answer
Mother's/Guardian's Name *
Your answer
Mother's/Guardian's e-mail
Your answer
Mother's/Guardian's Phone Number
Your answer
Father's/Guardian's Name *
Your answer
Father's/Guardian's e-mail
Your answer
Father's/Guardian's Phone Number
Your answer
Emergency Contact 1 Name *
Your answer
Emergency Contact 1 Relationship *
Your answer
Emergency Contact 1 Phone Number *
Your answer
Emergency Contact 2 Name *
Your answer
Emergency Contact 2 Relationship
Your answer
Emergency Contact 2 Phone Number
Your answer
Physician's Name
Your answer
Physician's Phone Number
Your answer
Health Insurance Company Name
Your answer
Health Insurance ID Number
Your answer
Dentist's Name
Your answer
Dentist's Phone Number
Your answer
Allergies
Your answer
Are there any other conditions we should be aware of?
Your answer
If a reaction occurs during rehearsal or performance, are there any special instructions?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service