Music Ministry Interest Form: 2018-2019
Registration for the Music Program: Please submit one per person
Email address *
Date:
MM
/
DD
/
YYYY
Name:
Your answer
Name of Parent/Guardian (if applicable):
Your answer
I'd like to register for...
Grade
Instruments Played:
Your answer
Address:
Your answer
Home Phone:
Your answer
Parent/Personal Mobile Phone:
Your answer
Special Needs/Allergies/etc
Your answer
Emergency Contact (if different than parent listed)
Your answer
By checking this box electronically I authorize permission to attend St. John the Baptist Children's Choir for the 2018-2019 choral season. *
Required
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