Parent/Guardian #1 *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian #1 Phone *

(###)

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Parent/Guardian #2

First Name

Last Name

Parent/Guardian #2 Phone

(###)

###

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Student Name *

First Name

Last Name

Register *

Please Check the Choir(s) that you would like to register for.

Skylands Children's Chime Choir (1st - 3rd Grade)

Skylands Children's Choir (1st - 3rd Grade)

Skylands Youth Choir (4th - 8th Grade)

Skylands Youth Handbell Choir (4th - 8th Grade) *space is limited

Media Release *

Do you grant us permission to share photos/videos of your student on social media to promote our program?

Yes, I give permission

No, I do not give permission

How did you hear about us?

Returning Student

Social Media Post

Friend

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