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Youth Choir Registration
Sundays from 5:30 to 6:60 PM (Choir begins Sunday, September 12)
Music Department at First Baptist Roswell, 710 Mimosa Boulevard
Contact us at (770) 587-6980 or
logan@fbroswell.org
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* Indicates required question
First Name of Youth
*
Your answer
Last Name of Youth
*
Your answer
Birthday of Youth
*
MM
/
DD
/
YYYY
Grade Child is Currently in
*
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Required
Primary Address of Youth
*
Your answer
Parent/Guardian #1: (First & Last Name)
*
Your answer
Parent/Guardian #1: Primary Phone Number
*
Your answer
Parent/Guardian #1: Email address
*
Your answer
Parent/Guardian #2: (First & Last Name)
Your answer
Parent/Guardian #2: Primary Phone Number
Your answer
Parent/Guardian #2: Email address
Your answer
Other Emergency Contact (First name, last name, Relationship to youth, Phone #)
Your answer
Please list any allergies/any medications or medical conditions we should be aware of:
Your answer
Photography and Video Authorization
Participants in Youth Choir may be photographed and/or videotaped during choir activities. These photographs and videos may be used in promotional materials. Please respond below with authorization.
I give consent for my youth to be photographed and/or videotaped during choir activities. I understand that these images or videos may be used in promotional materials.
*
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