First Name: *
Last Name: *
Date of Birth: * Select Date
Gender: *
Phone Number: *
E-mail Address: *
Cell Number:
Street Address: *
P.O. Box
City: *
Postal Code: *
Have you had previous experience singing in a choir? *
Yes
A little bit
No
Do you take voice lessons or sing in a choir at present?Yes
No
Do you play an instrument? *
No
Piano
Violin
other instrument
Emergency Contact: *
Relationship: *
Phone Number: *
E-mail Address:
Cell Number: *
Do you have any allergies/medical conditions?
Comments / Questions:
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