Choristers Registration

Child's Name

First Name

Last Name

Grade

Birthday

YYYY

Parent's Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Please list any allergies or concerns:

Media Release

I hereby grant permission for my child/children’s photograph to be included in the church publications, local press, video, outreach brochures and church website. It is our policy not to identify children by name.

Yes, I agree to the above Media Release.

No, I would prefer photographs of my child(ren) not be published.