SUMMER 2024 REGISTRATION

STUDENT INFORMATION

STUDENT NAME

First Name

Last Name

TOWN OF RESIDENCE

NAME OF SCHOOL

CURRENT GRADE

VOICE PART

T-SHIRT SIZE

PARENT/GUARDIAN INFORMATION

PARENT / GUARDIAN NAME

First Name

Last Name

PARENT / GUARDIAN E-MAIL

PARENT / GUARDIAN CELL PHONE NUMBER

(###)

###

####

EMERGENCY CONTACT INFORMATION

EMERGENCY CONTACT NAME

First Name

Last Name

EMERGENCY CONTACT PHONE NUMBER

(###)

###

####

ANYTHING ELSE YOU'D LIKE US TO KNOW?