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Columbia Children's Choir Registration 2023-24
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* Indicates required question
Participant's First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Female
Male
Grade
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2nd
3rd
4th
5th
Date of Birth
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
City
*
Your answer
State
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Your answer
Zip
*
Your answer
Parent/Guardian #1 Name
*
Your answer
Parent/Guardian #1 phone
*
Your answer
Parent/Guardian #1 email address
*
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 phone
Your answer
Parent/Guardian #2 email address
Your answer
Emergency contact name
*
Your answer
Emergency contact phone
*
Your answer
Allergies, Medical Conditions, Dietary Restrictions we should be aware of:
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Your answer
Is there anything that you would like to share about your child that would assist us in our interaction with them?
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