E-mail Address: *
Confirm E-mail Address *
Family Last Name *
Parent Name *
Parent Name
Address *
City *
Zip Code *
I understand all newsletters will be e-mailed. Our e-mail will be checked weekly. *
YES
No - we will need to make arrangements to get the newsletters.
Home Phone *
Other Phone
Referred By
We would like to attend class on: *Monday Night in Kaysville (5th - Jr High - By Audition Only)
Tuesday Night in Syracuse (Pre - 6th Grade)
Wednesday Night in Kaysville (Pre - 6th Grade)
First Student Name *
First Student Age *
First Student Grade this Year in School *
First Student Sex *Male
Female
First Student Birth Date *
Second Student Name
Second Student Age
Second Student Grade this Year in School
Second Student SexMale
Female
Second Student Birth Date
I am aware that there is a small risk involved whenever a program involving children is conducted. I agree to release and hold harmless The Choral Collection and Geina Young, Director, and any Choral Collection teacher from any damages or physical injury that is incurred while my child is involved with The Choral Collection in attending classes or performing with the group. (Initial Box) *
Questions, comments.....
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