Children's Choir Musical Registration Parent's Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent's Phone*Second Parent's PhoneParent's Email* Second Parent's Email Child's Name* First Last Child's Age*Child's Grade*Kindergarten1st2nd3rd4th5thChild's Birthdate* Date Format: MM slash DD slash YYYY Interested in a solo? (encouraged)*YesNoInterested in a speaking part? (highly encouraged)*YesNoActing experience?*YesNoIf you answered yes to acting experience, please describe.Please list any health concerns/allergies.If none, please leave blank.I would like to register a second child.YesNoSecond Child's Name First Last Second Child's AgeSecond Child's GradeKindergarten1st2nd3rd4th5thSecond Child's Birthdate Date Format: MM slash DD slash YYYY Second Child is interested in a solo? (encouraged)YesNoSecond Child is interested in a speaking part? (highly encouraged)YesNoSecond Child has acting experience?YesNoIf you answered yes to acting experience, please describe.Please list any health concerns/allergies for second child.If none, please leave blank.I would like to register a third child.YesNoThird Child's Name First Last Third Child's AgeThird Child's GradeKindergarten1st2nd3rd4th5thThird Child's Birthdate Date Format: MM slash DD slash YYYY Third Child is interested in a solo? (encouraged)YesNoThird Child is interested in a speaking part? (highly encouraged)YesNoThird Child has acting experience?YesNoIf you answered yes to acting experience, please describe.Please list any health concerns/allergies for third child.If none, please leave blank.I would like to register a fourth child.YesNoFourth Child's Name First Last Fourth Child's AgeFourth Child's GradeKindergarten1st2nd3rd4th5thFourth Child's Birthdate Date Format: MM slash DD slash YYYY Fourth Child is interested in a solo? (encouraged)YesNoFourth Child is interested in a speaking part? (highly encouraged)YesNoFourth Child has acting experience?YesNoIf you answered yes to acting experience, please describe.Please list any health concerns/allergies for fourth child.If none, please leave blank.Children and families participating in “Down by the Creek Bank” affirm that they understand the following requirements:*· Commitment to the May 2 performance date · Consistent attendance at Wednesday night rehearsals from 5:45-6:30 with our musical team · Independent practice of the songs and choreography at home using the CD and rehearsal videos · Provision of simple costume pieces for the performance I agree.Photo Release*I hereby grant permission to First Presbyterian Church to use photographs and/or video of my child during Children's Choir rehearsals and/or performances on social media, online, and in other communications related to the mission of First Presbyterian Church. {No identifying information will accompany photos or videos.}Yes, I give permission.No, I do not give permission.
