FBC Monday Music and Missions Choir Registration 2018-2019
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
Address *
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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