West Texas Children's Chorus 2018-2019 Registration
Please answer all of the following questions. All information is strictly confidential.
Participant Name *
Your answer
Gender *
Ethnicity
Your answer
Address *
Please provide street, city, state, and zip code
Your answer
Age *
Date of Birth *
mm/dd/yyyy
Your answer
Height *
in inches
Your answer
Allergies, medical conditions, or special dietary restrictions *
Your answer
Parent Information
Participant lives with *
Required
Name and address of the guardian(s) indicated above *
Your answer
Preferred email address of the guardian(s) indicated above *
All WTCC correspondence will be sent to this address.
Your answer
Home phone number *
(000)000-0000
Your answer
Mother's or primary guardian's work number
(000)000-000
Your answer
Mother's or primary guardian's cell phone number
(000)000-000
Your answer
Father's work number
(000)000-000
Your answer
Father's cell phone number
(000)000-000
Your answer
Other contact information
Please list any other relevant contact information, including names and relationship to your child.
Your answer
Musical Background
What school does your child attend? *
Your answer
Please indicate your child's grade in school. *
Who is your child's music teacher or choir director? *
Your answer
How many days weekly does your child have music class? *
Please list other instruments played, and describe your child's experience with each. *
Your answer
In which school music ensembles does your child participate?
Check all that apply.
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