Benedictine Children’s Chorus

Student Name *

First Name

Last Name

Parent/Guardian

First Name

Last Name

Primary Parent/Gurdian Phone Number *

(###)

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Alternate Phone Number

(###)

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Primary Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Annual Fee *

There is an annual fee of $75 per child which covers the cost of a t-shirt. pollo, and festival registration. This fee also allows us to offset the cost of purchasing new sheet music. This fee will be billed via the FACTS tuition account.

I acknowledge that the annual fee of $75 will be billed to my tuition account.

Permission to Participate *

I give my child permission to participate in Children's Chorus this year.