Winter 2018 Hearst K - 2nd Grade Chorus Enrollment Form
This form will be used to enroll students in the K - 2nd grade chorus.  Practices are held Mondays from 3:30-4:30pm.  There is no fee for participating in chorus but enrollment is capped at approximately 30 students. We will seek a parent volunteer or possibly conduct a lottery if there is more interest.

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Email *
What is your child's first name? *
What is your child's last name? *
Parent/guardian's full name (last, first) *
Parent/guardian's email address *
Daytime phone number (Please be sure to provide the best way to reach this person during the day in case of an emergency). *
(XXX) XXX-XXXX
Second Parent/guardian's full name (last, first)
(if applicable)
Second Parent/guardian's email address
Second Parent/guardian's phone number (if applicable)
(XXX) XXX-XXXX
What grade is your child in? *
Who is your child's homeroom teacher? *
Required
After the 3:30 class, where will your child be going to?
Clear selection
If your child is being picked up by someone, please provide this person's name and a phone number to reach him/her.
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