Shepherd of the Prairie
Children's Music Ministry Registration
Child's Name
Birthdate (mm/dd/yyyy)
Gender
M
F
Current Grade
Pre-K
K
1
2
3
4
5
6
7
8
HS
Parent(s) Names
Home Phone
Note: required fields are shown in color
Address
City
Zip
Parent(s) E-mail
Mother Cell Phone
Other E-mail
Father Cell Phone
Able to read music?
Y
N
Instruments able to play
Choir(s) interested
in joining:
Cherub (P3 – K)
Blessings (1st – 5th)
Joy Ringers-Chimes (2nd – 5th)
Jubilate Ringers-Beginning Handbells (4th & up)
Middle School Choir (6th – 8th)
Spirit Ringers (6th – HS)
Food Allergies
Other Concerns