go back

Children's Music Ministry Registration Form

 

Please indicate the choir you are interested in participating in: (one form per child, please)
Cherub Choir 4 by 09/01/07 through k
Sonshine Choir 1st through 2nd grade
Covenant Choir 3rd through 5th grade
Handbell/Chimes 4th grade through Youth

Child's Last Name

First Name
Middle Name
Name Goes By
Grade in School as of 9-1-07
MaleFemale
 
Date of Birth (mm/dd/yy)
Height:
 
Mother's Name
Work/Cell Phone:
Father's Name
Work/Cell Phone:
Address/Street/apt
City/State
Zip
Home Phone
Youth's Cell Phone
Email
School Attending
T-Shirt Size
School District
CCPC has my permission to use photos of my child in publications, including this web site: Yes No

 

go back