IMPACT Children's Choir Registration
Please complete the following information to provide the Director with accurate information about the singers in the group.
Please select the IMPACT Choir in which your child will be participating *
Singer's Last Name *
Your answer
Singer's First Name *
Your answer
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent(s)/Guardian(s) Names *
Your answer
Contact Email *
Your answer
Phone Number *
Your answer
Cell Phone #1
Your answer
Do you want REMIND messages with announcements sent to this number?
Cell Phone #2 (If applicable)
Your answer
Do you want REMIND messages with announcements sent to this number?
Cell Phone #3 (if applicable)
Your answer
Do you want REMIND messages with announcements sent to this number?
School Attends *
Your answer
2018-2019 Grade *
Is it ok to use photographs and videos of your child for promotional purposes in both print and electronic formats? *
Please provide the name(s) of additional individuals who can pick up your child
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Weebly Email Service.