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• Registration for 2019-2020 Music Ministry for Youth

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  • Student Information
    • First Name REQUIRED Please fill out this field. Please enter valid data.

      Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Choir REQUIRED (Select One) Family Choir Teens Love Christ Choir (TLC) Please fill out this field.
    • Singer Voice REQUIRED (Select One) Soprano Alto Tenor Bass Please fill out this field.
    • Instruments that you play REQUIRED Please fill out this field. Please enter valid data.
    • Home Address REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Student Cell Phone Number Please enter a phone number.
  • Student Email Address Please enter an email address.
  • How do you prefer to be contacted? Text Message to student cell phone Email to parents and student
  • School that you attend REQUIRED Please fill out this field. Please enter valid data.
  • Grade for the 2019-2020 year REQUIRED (Select One) Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Please fill out this field.
  • Parent Information
    • First Name REQUIRED Please fill out this field. Please enter valid data.

      Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
    • Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
    • Email REQUIRED Please fill out this field. Please enter an email address.
  • Special Concerns? Allergies? Please be specific. REQUIRED Please fill out this field. Please enter valid data.
  • Our Music Ministry website will include occasional photos. Do you give permission for your child's photo to appear there? REQUIRED (Select One) YES NO Please fill out this field.

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• Contact us:

  • 
    Jeannie Downey-Vanover, PhD
    Director of Music Ministry for Youth
    240-506-0258
    JVanoverStRose.com