Genesis Registration Form
(must be at least four by beginning of choir or at the time of registration)
Student information:
First name: Last name:
Prefers to be called:
Current age: 4 5 6 7 Birth date (mm/dd/yr): Boy Girl
Were you in choir last year? yes no Need picked-up from 8:15 Sunday School? Yes No
All St. Luke's Choristers need a light blue Children's Choir shirt. If you do not already have one, they are available for purchase for $10.00. If you have a small size to exchange, the cost is $5 plus the exchange. See Mr. Stage this summer or fall if you will need one, and indicate it below. Please make checks payable to "St. Luke's UMC."
Choir shirt status: I do not have a shirt and will need one I have a smaller shirt to exchange I have a shirt that fits
Size needed (if applicable): Youth small Youth medium Youth Large
Adult small Adult medium
Parent/caregiver information:
Mother:
First name: Last Name:
Street address: Apt:
City: Zip:
Home phone: Work phone: Cell:
Preferred email address:
Father (complete address info only if different than mom's):
Student Medical information:
Does your student have any medical conditions we need to know about?: Yes No. If "yes," explain below:
Does you student have any allergies?: Yes No. If "yes," explain below:
In an emergency, if we cannot find you, who should we contact?:
Name: Cell number:
Click "submit" to conclude your registration in the St. Luke's Children's Choirs.
By clicking "submit" you agree that, should your child be stricken in any way, accident or otherwise, and in the opinion of the director/adults in charge, should emergency medical treatment be needed, permission is granted to seek such care, during rehearsals, performances, or approved choir trips.
Clicking "submit" also authorizes us to use pictures of the children at rehearsal or performances on the website. Children are NEVER identified by name