Children's Choir Registration 2022-2023 Season

Phone: (630) 584-6434

Email:

Mailing Address: 36W925 Red Gate Rd.; St. Charles, IL 60175

Parent/Guardian Name(s)

Home Address*

Preferred Phone Number*( ) -

Emergency Contact (additional contact if you can not be reached on the preferred phone number)*( ) -

Preferred Email Address*

Child #1 Name*

Child's Grade 2022/23 or Age if not in school*

Child #1 Birth Date

Please list any allergies or special circumstances

Child #2 Name

Child #2 Grade 2022/23 or Age if not in school

Child #2 Birth Date

Please list any allergies or special circumstances for child #2

Child #3 Name

Child #3 Grade 2022/23 or Age if not in school

Child #3 Birth Date

Please list any allergies or special circumstances for child #3

In the event of a medical emergency, Hosanna! will attempt to contact the parent/guardian before authorizing medical care. Should it not be possible to contact the parent/guardian by telephone, the parent/guardian hereby gives their consent for treatment *

Your typed name serves as your signature

Hosanna! would love to connect with you. If you would like a pastor to contact you please indicate in the box below.

Please leave this field blank.

Hosanna! utilizes multi-media and the internet to share our ministries with the congregation and the community. Children’s names are NEVER published by the church in association with pictures/videos. If you have any concern about your child’s picture being a part of this communication, please visit with our Director of Music.

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Children's Choir Registration 2022-2023 Season