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Kids’ Choir

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Kids’ Choir – 3rd-6th Grade

Child Name *

First

Last

Parent Name *

First

Last

Parent Email *

Home Phone

Parent Cell Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Birthday - Month/Day/Year

Grade (Current/Upcoming School Year)

3rd
4th
5th
6th

List all instruments that your child plays:

Parent Name (2)

First

Last

Parent (2) Cell Phone

Parent (2) Email

Parent (2) Address (if different from the student)

Address Line 1

Address Line 2

City

State

Zip Code

List all instruments that either parent plays:

Message