2010-2011 Youth Choir Registration

Please complete this online form to register your child for 2010-11 Youth Choir at Marietta First. One form per student please.

Name: male female

Birthdate:

Grade:

School:

Parent/Guardian:

Street Address:

City/State/Zip:

Home phone: Cell/Work:

Parent email (IMPORTANT!):

Allergies/medical information/special diet or other concerns:

Musical experience Yes No

Do you play piano?

Other instruments?

Private lessons?

For how long?

What are some of your School activities? (don't be shy)

What are some of your Non-school activities?

What do you do for fun?

I give permission for my child’s photograph or video image to be used on promotional or informational materials, press media, and possible publication on the World Wide Web through he church’s web page for positive public relation purposes.

Yes No

Electronically sign this form by entering your initials here: