Please provide the following information:

Choir Member's Name
Parent/Guardian
Street Address
Address (cont.)
City
Zip Code
Home Phone
Work Phone
FAX
E-mail

Choir Member's Grade:

2 3 4 5 6 7 8

Choir Member's Teacher:

Adamson Biller Hernandez Hale Lewis Marsolais Murray Remick Sedgewick Sweeney Suggs Keith Whitaker White

Has this child previously been a member of the choir?

Yes No

Is this choir member (family) registered with Holy Family Parish?

Yes No

Does this choir member play a musical instrument?

Yes No

If "Yes", please specify which instrument(s):

Date Registration Submitted: