Preschool Choir Registration

For more information, please contact the Music Office

Child's Name*
Child Info*
Age Grade Birthdate
Gender*
- Girl
- Boy
Address*
Street Address City State ZIP Code
School*
Email*
Phone
(205)555-5555
Both Parent's Names*
Mother Father
Briarwood Member?*
- Yes
- No
If not, home church:
Allergies or health issues
Does you child have any life threatening allergies? Please explain
I will be glad to help with choir by
- Leading a choir
- Accompanying a choir (piano)
- Taking attendance (once a month)
Phone
This field is for validation purposes and should be left unchanged.