Fireweed Registration 2019-2020
Email address *
Singer's Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
School *
Grade in September *
Your answer
Address
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Contact Number *
Your answer
Parent/Guardian E-mail Address *
Your answer
Additional Parent/Guardian Name
Your answer
Additional Parent/Guardian Contact Number
Your answer
Additional Parent/Guardian Email Address
Your answer
Allergies *
Your answer
Does your child have any special needs or health concerns that we should know about? *
Your answer
Is there anything else you would like us to know about your child?
Your answer
Does your child have permission to walk home from choir practice? *
Would you be interested in assisting with administrative duties, organizing fundraising initiatives, chaperoning at choir events or with other tasks as they arise? *
Fireweed Children's Chorus has one voting representative on the Yellowknife Choral Society Board. Are you willing to be that representative? *
SIGNATURE Please type your name and the current date below to serve as a signature on this registration form. *
Your answer
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