Hartwood Presbyterian Church - Kids Choir Registration Form

Now Forming, starting January 21, 2016
6:00pm - 7:00pm
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Child's Name M/F Age Grade Fall2015/Spring2016
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Parent/Guardian Name:
Email Address:
Confirm Email Address:
Phone:
Cell Phone:
Allergies-Medications:

Alternate Emergency Contact Name:
Alternate Emergency Contact Phone:
Alternate Emergency Contact Relation: