Junior Choir Registration

Camper Information

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* 1. Camper's Name

First Name

Last Name

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* 2. Entering Grade

3rd Grade

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* 3. T-Shirt Size

Youth Medium

Youth Large

Adult Small (Same as Youth Medium, 2 inches longer)

Adult Medium

Adult Large

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* 4. Camper's Birthday

Date / Time

Date

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* 5. Preferred Pronouns

He/Him

She/Her

They/Them

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* 6. Address

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

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* 7. Parent/Guardian Contact

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 8. Authorized Pick-Up

Name

Email Address

Phone Number

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* 9. Authorized Pick-Up

Name

Email Address

Phone Number

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* 10. How Did You Hear About Us?

Facebook

Instagram

Google

Peachjar

Friend Referral (please specify)