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Youth Choir Registration

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  First Child
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  1st Child's date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  1st Child's school REQUIRED Please fill out this field. Please enter valid data.
  
  Second Child
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  2nd Child's date of birth Please enter valid data.
  
  2nd Child's school Please enter valid data.
  
  Third Child
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  3rd child's date of birth Please enter a date.
  
  3rd child's school Please enter valid data.
  
  Parent/Guardian full name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent's email REQUIRED Please fill out this field. Please enter valid data.
  
  Parent's phone contact # REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Secondary Contact person name REQUIRED Please fill out this field. Please enter valid data.
  
  Secondary contact (emergency) Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  PARENTAL ASSISTANCE
  Per the Diocesan Safe Environment Policy we are required to have 3 parents (one for each group level) present during rehearsals on Tuesdays. All parents will be assigned on a rotating basis, and should only have to serve roughly once every two months.
  
  PHOTO IMAGE CONSENT
  I give my permission for pictures and/or video of my child (children) engaged in the Saint Bede Youth Choir and/or other related activities to be published in Williamsburg local newspapers, the Saint Bede website and publications, and any Diocese of Richmond publications or websites.
  
  Consent REQUIRED I approve the use of pictures/videos of my child I do NOT approve pictures/videos of my child Please fill out this field.
  
  PAYMENT INFORMATION
  There is a $30 non-refundable registration fee for each child. ($75 max. per family)
  Please make a check payable to Saint Bede and mail it or bring it to the music office.
  Attn: Music office
  3686 Ironbound Rd.
  Williamsburg, VA 23188
  
  Submit
  
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