The Choral Collection
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E-mail Address:
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Confirm E-mail Address
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Family Last Name
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Parent Name
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Parent Name
Address
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City
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Zip Code
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I understand all newsletters will be e-mailed. Our e-mail will be checked weekly.
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YES
No - we will need to make arrangements to get the newsletters.
Home Phone
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Other Phone
Referred By
We would like to attend class on:
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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
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First Student Age
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First Student Grade this Year in School
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Pre-School Age
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Adult (25 yrs and older)
First Student Sex
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Male
Female
First Student Birth Date
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Second Student Name
Second Student Age
Second Student Grade this Year in School
Pre-School Age
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Adult (25 years and older)
Second Student Sex
Male
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)
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Questions, comments.....
How did you hear about Choral Collection?
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Required
Sunday, May 20, 2012
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