CHILDREN'S CHOIR
ONLINE REGISTRATION

NOTE THAT SOME FIELDS ARE REQUIRED FIELDS. The form cannot be submitted unless all required fields are filled in. All required fields are marked with an ASTERISK (*).

Examples of required fields are: 1st Child's Full Name, Grade in School, Date of Birth, Parent/Guardian Name, Parent/Guardian Mailing Address, Emergency Contact, Emergency Contact Number, and Photography Release.

Especially note that the Country field in the Mailing Address must be filled in before the form will submit - an unfortunate database design flaw - sorry. Just type in USA.

1st CHILD'S FULL NAME

First Name

Last Name

Grade in School

Date of Birth

YYYY

Allergies

Medical Conditions

Learning Challenges

2nd CHILD'S FULL NAME

First Name

Last Name

Grade in School

Date of Birth

YYYY

Allergies

Medical Conditions

Learning Challenges

3rd CHILD'S FULL NAME

First Name

Last Name

Grade in School

Date of Birth

YYYY

Allergies

Medical Conditions

Learning Challenges

4th CHILD'S FULL NAME

First Name

Last Name

Grade in School

Date of Birth

YYYY

Allergies

Medical Conditions

Learning Challenges

PARENT / GUARDIAN NAME

First Name

Last Name

Parent / Guardian Mobile Phone

(###)

###

####

Parent / Guardian Home Phone

(###)

###

####

Parent / Guardian Email

Parent / Guardian Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name

Emergency Contact Number

(###)

###

####

Photography Release

I/We give our permission to Crossroads Baptist Church of Greater Wichita, Inc., Wichita, Kansas to use pictures of my/out son(s)/daughter(s) for advertising, video celebrations, and/or display without names or identification(s) attached. For example we would need permission to post a video of a Sunday Morning worship service on our church website if the Children's Choir sings during the church service.

Yes

CHILDREN'S CHOIR ONLINE REGISTRATION

CHILDREN'S CHOIR
ONLINE REGISTRATION