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St. Cecilia Youth Choir Enrollment & Commitment Form
Contact Information
Choir Member’s Name:
First Name
Last Name
I would like to register another child:
*
select one
Yes
No
Choir Member’s Name:
First Name
Last Name
I would like to register another child:
*
select one
Yes
No
Choir Member’s Name:
First Name
Last Name
Parent/Guardian Name(s):
Contact Phone Number:
This number calls:
Mom
Dad
Other (specify)
Please specify:
Contact Email:
Verify Email
This email goes to:
Mom
Dad
Other (specify)
Please specify:
Grade:
select one
4th
5th
6th
7th
8th
School Attending:
Have you celebrated first Holy Communion?
select one
No
Yes
Do you play a musical instrument?
select one
No
Yes
If yes, what instrument?
For How Long?
select one
Few month
1yr.
2yrs.
3yrs.
4yrs.
VIDEO/PHOTOGRAPHY CONSENT
*
By checking this box as parent/guardian, I understand that promotional pictures and videos (individual and group) will be taken throughout the year. I give permission for my child’s picture to be used for newsletters, web pages, bulletins, calendars, power points, videos etc. to highlight our music ministry.
Today's Date
(mm/dd/yyyy)
$10
-
Choir Member Fee (Per Child)
$10
-
Choir Member Fee (Per Child)
$10
-
Choir Member Fee (Per Child)