FBC Monday Music and Missions Choir Registration 2017-18
Participant's Information
Child's Name
Your answer
Child's Grade for 2017-18
Which school does your child attend?
Who is your child's homeroom teacher?
Your answer
Allergy Information
Please list any known food or other allergies your child has (if none answer "None"):
Your answer
Medicine Information
Is your child taking any medications we need to be aware of (if none answer "No")?
Your answer
Parent / Guardian Information
What is your name?
Your answer
What is your mailing address?
Your answer
E-mail Address
What is your best email contact address?
Your answer
Phone Number
What is your best contact phone number?
Your answer
Emergency Contact Information
Who should we contact in case of an emergency?
Your answer
What is their relationship to your child?
What is the best number to reach them?
Your answer
Alternate Pick-Up
Please list the names of people other than yourself who are allowed to pick up your child from choir:
Your answer
Please tell us anything you think might be important for us to know about your child:
Your answer
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