Children's Choir Registrations - First Presbyterian Church of Lake Forest

Number of Children to Register
Child/Youth #1
Child/Youth #1 Name*
First Last
Grade
What school do they attend?
Date of Birth
MM slash DD slash YYYY
Child/Youth #1 Food or medicine allergies/dietary restrictions/special health problems or concerns
Child/Youth #2
Child/Youth #2 Name
First Last
Grade
What school do they attend?
Date of Birth
MM slash DD slash YYYY
Child/Youth #2 Food or medicine allergies/dietary restrictions/special health problems or concerns
Child/Youth #3
Child/Youth #3 Name
First Last
Grade
What school do they attend?
Date of Birth
MM slash DD slash YYYY
Child/Youth #3 Food or medicine allergies/dietary restrictions/special health problems or concerns
Child/Youth #4
Child/Youth #4 Name
First Last
Grade
What school do they attend?
Date of Birth
MM slash DD slash YYYY
Child/Youth #4 Food or medicine allergies/dietary restrictions/special health problems or concerns
Child/Youth #5
Child/Youth #5 Name
First Last
Grade
What school do they attend?
Date of Birth
MM slash DD slash YYYY
Child/Youth #5 Food or medicine allergies/dietary restrictions/special health problems or concerns

Parent/Guardian #1 Info
Parent/Guardian #1 Name*
First Last
Parent/Guardian #1 Email*
Parent/Guardian #1 Home Phone
Parent/Guardian #1 Cell Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent/Guardian #2 Info
Parent/Guardian #2 Name
First Last
Parent/Guardian #2 Home Phone
Parent/Guardian #2 Cell Phone
Parent/Guardian #2 Email
Add different address for Parent/Guardian #2?
- Yes
- No
Parent/Guardian #2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Children’s Choir Registrations