Children's Choir 2019-2020
Please fill out one form for each child
Child's Information
Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School *
Your answer
Grade Level *
Your answer
Allergies (medication, food, environmental) *
Your answer
Parent's Information
Please include full contact information for at least one parent
Mother's Name
Your answer
Mother's Cell Phone Number
Your answer
Mother's Email Address
Your answer
VIRTUS Certified *
Father's Name
Your answer
Father's Cell Phone Number
Your answer
Father's Email Address
Your answer
VIRTUS Certified *
Emergency Contact Information
Please list an adult other than the child's parents
Name *
Your answer
Cell Phone Number *
Your answer
Comments
Your answer
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