St. Bonaventure Choir (2nd-8th grade) Registration 2022-2023

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Children's Choir Registration Form

Child's Name: *

Grade for 2022-2023 school year: *

School: *

Parents' names: *

Address: *

City/State/Zip Code: *

Child Resides with: *

Both parents

Mother

Father

Other

Voice Part:

Soprano

Alto

Clear selection

Home phone: *

Mom work/cell: *

Dad work/cell: *

Email address: *

Allergies/Medical conditions: *

May we use your child's name and /or photography in publications issued by the Parish? *

Yes

May we release your child's name and your city/village in Parish issued news/photo releases? *

Yes

May we use a photo that includes your child on the Parish website? (Individual children will not be identified by name in photo captions.) *

Yes

Periodically, the Parish develops a video as a promotional and/or informational piece for families. First names may be used in these videos due to student interactions. last names would not be used. May we use your child in these videos? *

Yes

Name and phone number of person to call in case of an emergency: (if we can't reach the parents) *

If, in the judgement of the Choir Director, emergency treatment is required, I authorize my child/myself to be transported by ambulance to a hospital for treatment. I also understand that the ambulance does reserve the right to convey the patient to the nearest care hospital of their choice, should they deem necessary. I hereby authorize the physician at the hospital to give emergency treatment to my child. (PARENT) SIGNATURE and DATE:

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