Proclamation Children's & Youth Music Registration 2020-2021 🎶🎵
Proclamation Presbyterian Church - Age 4 through 12th Grade

Please contact Kelly@proclamation.org with any questions.

***If you have MULTIPLE CHILDREN, after you submit your first child's form, please feel free to omit repetitive items on subsequent forms. :)

Sign in to Google to save your progress. Learn more
Child's First Name *
Child's Last Name *
Child's Age on 9/23/2020 *
Child's Birthday *
MM
/
DD
/
YYYY
Child's Gender
Clear selection
Child's Grade Level *
Child's School
Child's allergies (if any):
Parent/Guardian 1 - Full Name *
Parent/Guardian 1 - Email address (best/checked regularly)
Parent/Guardian 1 - Cell number
Parent/Guardian 1 - Address
I give permission to receive occasional text message reminders.
Clear selection
Parent/Guardian 2 - Full Name
Parent/Guardian 2 - Email
Parent/Guardian 2 - Cell number
Parent/Guardian 2 - Address (if different)
Parent/Guardian 3 - Full Name
Parent/Guardian 3 - Email
Parent/Guardian 3 - Cell Number
Parent/Guardian 3 - Address (if different)
Child's Church Home (if any)
Clear selection
My child has access to a device with internet that can be used on Wednesday evenings between 6:00 - 7:00 pm. *
My child has access to earbuds/headphones for video recording to participate in the creation of virtual choir videos. *
My child has access to a device with a video recording capabilities to participate in the creation of virtual choir videos. *
HANDBELLS for 3rd grade and up : If in-person handbells at the church were to become an option at some point this year, would your child participate?  Please email Sandy Martin for more details about the COVID-19 Handbell Safety Plan (sandymartinmusic@aol.com).
Clear selection
Additional comments/info/questions (kelly@proclamation.org or 484-769-7694):
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Boyertown Area School District. Report Abuse
Google Forms