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 (2nd – 5th)
Middle School Choir (6th – 8th)
Spirit Ringers (6th – 8th)
High School Bell Choir
Instrumental Group
Food Allergies
Other Concerns
We need your help! Please mark any of the following that you would be willing to volunteer for:
Phone tree leader
Provide snacks
Lead/assist a choir
Piano accompaniment
Assist during services when children sing/play