Newark UMC Chorister Program Registration
Please fill out the registration form below. Your information will be electronically submitted to the Director of Music. *The Newark UMC Chorister Program is open to all people of the community.
Parent’s / Guardian’s Name: *
Your answer
Child’s / Youth's First Name: *
Your answer
Child’s / Youth's Last Name: *
Your answer
Child’s / Youth's Birthdate: *
mm-dd-yy
Your answer
Child’s / Youth's Age: *
Your answer
Child's / Youth's Grade: *
Your answer
Primary Phone: *
Your answer
Email: *
Your answer
Home Address: *
Your answer
Emergency Contact Info *
Your answer
Does your child / youth have any special needs or food allergies? *
Your answer
I am registering my child / youth for the following choir. *
Is your child / youth a member of any of the following groups? *
Required
Does your child / youth currently take private instrumental or vocal lessons? *
If so? What instrument / voice part and how long have they been studying?
Your answer
Are you interested in private piano or organ lessons for your child / youth? *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Newark United Methodist Church. Report Abuse - Terms of Service - Additional Terms