Selah Class Registration Form: 2026 - 2027
Please register each student separately. If your student needs to be enrolled in multiple classes, please fill out this form once per class.

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Email *
Student's Full Name *
Student's Age
Student's Birthday
MM
/
DD
/
YYYY
Student's Grade
Parent's Full Name *
Parent's Phone Number *
This number will be added to BAND, our classroom app for communication of important information, events and updates.
Mailing Address (optional)
Alternate Emergency Contact Name *
Please enter the information for someone other than the primary parent.

In the case of an emergency, we will attempt to reach the student's parent first. If the parent is not available, we will reach out to the alternate emergency contact.
Emergency Contact's Relation to Student
 *
Emergency Contact's Phone Number *
Medication
Life Threatening Illness or Medical Awareness
Allergies
Permission to use photos of student? *
For publicity and sharing performance pictures
Permission to share parent's email/phone number with other class parents? *
For birthdays, carpooling, etc.
Shirt Size
For costume sizing
Shorts/Pants Size
For costume sizing
Which class will your student attend? *
For more information on classes, click here.  To register a student for multiple classes, please complete this form once per class.

Students in 6th Grade may choose if they want to attend the Elementary or Jr. High class.
Students in 9th Grade may choose if they attend Intermediate or High School level classes.
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