Children’s Choir Registration – Music at St. Michael

Child's Name *

First

Last

Parent/Legal Guardian Name *

First

Last

Parent/Legal Guardian Email *

Preferred Phone Number *

Street Address *

City *

State *

Zip Code *

Child's Birthday *

MM/DD

Emergency Contact Name *

Emergency Contact Phone *

Second Emergency Contact Name *

Second Emergency Contact Phone *

Please list all individuals who have permission to pick up your child from choir events:

Name and relationship

Are there any allergies, health conditions, physical limitations, or other pertinent information about your child that the Music staff/volunteers should be aware of?

Checkboxes *

As the parent or legal guardian of the aforementioned child, I hereby give permission for my child to participate in St. Dominic Savio Choir/Holy Innocents Choir of St. Michael the Archangel Parish.
As the parent or legal guardian of the aforementioned child, I hereby give permission for St. Michael the Archangel Parish to use photos or other images of my child in publicity for parish programs.

Parent/Legal Guardian Initials *