Youth Music Sign Up

* Youth's Name

Goes By

* Date of Birth

* Gender

Male

Female

* Youth Cell

* Youth E-mail

* Grade Attending

* School Attending

* 1st Parent/Guardian's Name

* Email

* Cell Phone

* 2nd Parent/Guardian's Name

* Cell Phone

* Email

* Address

* City

* Zip Code

Sing in school choir?

What part do you sing?

Instrument(s) you play

T-shirt size

Hobbies

* Contact youth by

* CCPC has my permission to use photos in in-house publications such as posters, bulletin board, worship video, etc.

* CCPC has my permission to use photos in other public forums such as the church website, press, releases, electronic newsletter, etc. No names will be used.

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