West Texas Children's Chorus 2022-2023 Registration

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Please answer all of the following questions. All information is strictly confidential.

Participant Name *

Gender *

Male

Female

Ethnicity

Address *

Please provide street, city, state, and zip code

Age *

Date of Birth *

mm/dd/yyyy

Height *

in inches

T-Shirt Size *

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Allergies, medical conditions, or special dietary restrictions *

Parent Information

Participant lives with *

Both parents

Father

Mother

Other:

Required

Name and address of the guardian(s) indicated above *

Preferred email address of the guardian(s) indicated above *

All WTCC correspondence will be sent to this address.

Home phone number *

(000)000-0000

Mother's or primary guardian's work number

(000)000-000

Mother's or primary guardian's cell phone number

(000)000-000

Father's work number

(000)000-000

Father's cell phone number

(000)000-000

Other contact information

Please list any other relevant contact information, including names and relationship to your child.

Musical Background

What school does your child attend? *

Please indicate your child's grade in school. *

Who is your child's music teacher or choir director? *

How many days weekly does your child have music class? *

Please list other instruments played, and describe your child's experience with each. *

In which school music ensembles does your child participate?

Check all that apply.

General Music

Choir

Band

Orchestra

Show Choir

Other:

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