Kids Choir Musical Registration

 


NOTE: you will need to submit a form for each child planning to attend.
Full Name of Choir Member: *
First Name
Middle
Last Name
Gender *
Age *
T-Shirt Size *
Parent or Guardians Full Name: *
First Name
Middle
Last Name
Address: *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Phone:*
Email:
Emergency Contact (if parent cannot be reached): *
First Name
Middle
Last Name
Emergency Contact Relationship to Choir Member:*
Emergency Contact Number:*
I release all images of my children produced by the St. John Mennonite staff and their volunteers for communicative and promotional purposes including, but not limited to flyers, videos and the St. John Mennonite website.*
MEDICAL ALERT INFORMATION Please include information of any medical concerns such as allergies or special learning needs in the box below.
Suggested Choir Dues are considered donations to St. John Mennonite Church to help offset the expense of supplies and handbooks. Checks may be made out to the church and mailed to 15988 Road 4, Pandora, OH, 45877, Attn: Grace Burkholder.
Thank you for registering your children for Kids Choir Musical 2015! You will receive a confirmation by email.
*