Soel Singers Summer 2021 Registration

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PARENT INFORMATION

Parent Name (Last, First) *

Parent Email *

Parent Phone Number *

Emergency Contact Information *

In the event of an emergency, and we are unable to reach you, please provide alternate contact information (name and phone number).

CHILD INFORMATION

Child One: Name *

Please provide the name and age of the child you are registering. (Last, First)

Child One: Age Group *

Child Two: Name

Please provide the name and age of the child you are registering. Last Name, First Name

Child Two: Age Group

Child Three: Name

Please provide the name and age of the child you are registering. Last Name, First Name

Child Three: Age

Child Four: Name

Please provide the name and age of the child you are registering. Last Name, First Name

Child Four: Age

Waiver and Release Form *

Do not check this box if you have not reviewed the Waiver and Release Form. The waiver and release form can be found at the bottom of this page on my website: http://www.soelsinger.com/musical-theater.html

I have read and acknowledge the Waiver and Release Form. My checking of this box is in lieu of my signature on said form.

Required

PAYMENT INFORMATION

$75 for Junior children (ages 5-7), $100 for Senior children (ages 8-12).

Please select your preferred payment method: *

Your child's spot is only secured once the registration form has been submitted and payment has been received.

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