Children's Music Program and Choir

Child Information

Name *

First

Last

Date of Birth *

Gender *

Grade *

Medical Concerns

Parent/Guardian Information

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Photography Release: Permission to post photos/videos of your child to St. Thomas Episcopal Church & School website/social media? *

Emergency Contact

Name *

First

Last

Emergency Contact Relationship *

Phone *