YPC Registration Form 2023-24
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Email *
Child's first name: *
Child's last name: *
School: *
Grade: *
Child's musical background: *
Parent 1 - Name: *
Parent 1 - Address: *
Parent 1 - Cellphone: *
Parent 1 - Email: *
Parent 2 - Name:
Parent 2 - Address:
Parent 2 - Cellphone:
Parent 2 - Email:
Medical conditions/allergies: *
Emergency contact - Name & relationship: *
Emergency contact - Phone number: *
How did you hear about YPC?
We rely on parent volunteers to make our organization run smoothly. Please check off any areas where you could help out:
RELEASE FORM: I give permission for my child to be photographed, recorded and filmed. 
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