Children’s Choir Registration

Please fill in all applicable fields. * Denotes required field.

    Student's Name *:

    Student's Age *:

    Grade in School *:

    Home Address *:

    City *:

    State *:

    Zip *:

    Home Phone:

    Primary Contact's Name (Parent/Guardian) *:

    Primary Contact's Cell Phone:

    Primary Contact's Email Address *:

    Secondary Contact's Name (Other Parent/Guardian):

    Secondary Contact's Cell Phone:

    Secondary Contact's Email Address:

    Parish in which Family is Registered:

    For Questions or More Information, Please Contact:
    Stephanie Hendry
    973-527-3720
    musicdirectorSH@sacredheart-dover.com