LWC CHOIR New Orleans 2020 SIGN-UP
PLEASE FILL THIS FORM OUT ENTIRELY.
STUDENT NAME (last, first) *
Your answer
Year in school *
Choir enrolled in for 2019-2020 *
Student date of birth *
MM
/
DD
/
YYYY
Student email *
Your answer
Student cell phone *
Your answer
PARENT NAME #1 *
Your answer
PARENT NAME #2
Your answer
Parent cell phone #1 *
Your answer
Parent cell phone #2
Your answer
Parent email #1 *
Your answer
Parent email #2
Your answer
NAME(S) OF PARENTS who would like to CHAPERONE this trip
Your answer
Briefly, please list below any health restrictions, dietary restrictions, and anything else that we should know in order to give your student the best possible trip. This information will be kept in confidence.
Your answer
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