Children's Choir Registration

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    Children's Choir Registration
    
    Children's Choir Parent Page
    
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The maximum number of form submissions has been reached. This form is currently not available.
- Family Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Mother's First Name Please enter valid data.
- Father's First Name Please enter valid data.
- Contact Information
  
  Primary Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Secondary Family Email Please enter an email address.
  
  Primary Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Option Cell Phone Number Please enter a phone number.
- How Many Children Are You Registering? REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Name of School Please enter valid data.
  
  Grade for Year 2021-2022 Please enter valid data.
  
  Special needs or concerns Please enter valid data.
  
  Fee per child: $35.00
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Name of School Please enter valid data.
  
  Grade for Year 2021-2022 Please enter valid data.
  
  Special needs or concerns Please enter valid data.
  
  Fee per child: $35.00
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Name of School Please enter valid data.
  
  Grade for Year 2021-2022 Please enter valid data.
  
  Special needs or concerns Please enter valid data.
  
  Fee per child: $35.00
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Name of School Please enter valid data.
  
  Grade for Year 2021-2022 Please enter valid data.
  
  Special needs or concerns Please enter valid data.
  
  Fee per child: $35.00
- Consent
  
  I consent to the use of any videotapes and/or photographs in which my child may appear by the Diocese of Trenton and/or St. Paul Parish. I understand that these materials are being used for promotion of the children's choir's programs and/or activities, which may include recruitment and fundraising efforts.
  
  Consent Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Consent REQUIRED Yes No Please fill out this field.
  
  Please send a confirmation email to the address below Please enter an email address.
Submit

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