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2009 – 2010 Faith
Formation and Choir Registration
NOTE TO PARENTS
Please
fill one form out for each child, as we want each teacher to have this
information available about each student in his or her class.
Please Print
Student Name Date of Birth
Residence Address
Residence Telephone
# Grade
in School Age
Parent/Guardian
Name
Parent/Guardian
cell phone Student
cell phone
Other Parent
Information (second address/phone, stepparent name, etc.)
Family email Student’s email
If you cannot be
reached in an emergency, who should we contact?
Name Telephone Relationship
Please list ALL
persons who have permission to pick up your child from class, if you prefer to
have them dismissed to you, or simply dismissed:
Is there any
medical information we should know about your child? (Allergies, medications,
special needs, etc.)
I would also like
to register my child for the choir checked below:
o CHERUB CHOIR Age 4 –
Grade 2 o YOUTH CHOIR Grade 7 – Grade 12
o COVENANT CHOIR Grade 3 – Grade 6
Would you consider
participating as a Teacher/Leader Sunday morning, choir helper, and/or a substitute
Teacher/Leader on the Children’s or Adult Education Team, or for a special
event?
Person completing this
form: Date