Today's Date*
First Name:*
Last Name:*
Student ID Number:*
School Grade (9,10,11,12):*
Voice Part (Sop1, Sop2, Alto1, Alto2, Ten1, Ten2, Bass1, Bass2):
Email Address 1:*
Email Address 2:
Email Address 3:
Email Address 4:
Email Address 5:
Home Phone (XXX-XXXX):*
Mom's Name:*
Dad's Name:*
Street Address (Number and Street):*
Zip Code*
Choir Class Period (A1, A2, A3, A4, B1, B2, B3, B4):*
Class A1?*
Class A2?*
Class A3?*
Class A4?*
Class B1?*
Class B2?*
Class B3?*
Class B4?*
Interested in Voice Lessons (Taught During Day and After School. Cost is $20 per half hour lesson)?* Yes No
Your Favorite Type of Music: