Cathedral Children's Musical Participation Form
Registration form for the 2014 Cathedral International Children's Musical- Questions? Contact Leslie Lukoma at 908.553.6200
Last Name *
Your answer
First Name *
Your answer
Grade (Sept 2014) *
Your answer
School (Sept 2014) *
Your answer
Age (Sept 2014) *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
E-mail address *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Mother's Name
Your answer
Mother's Cell
Your answer
Father's Name
Your answer
Father's Cell
Your answer
Home Phone
Your answer
Allergies/Medical Information we need to know
Your answer
My child would like to: *
(Check all that apply)
Required
Previous Performances
Not necessary for participation-- information provided may be used in the program
Your answer
Special Talents
Instruments/Special Abilities
Your answer
Accomplishments
Honor roll, Academic Awards, Performance Awards, etc.
Your answer
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