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New Member Application Form

Please fill out as completely as possible. Thanks

Family Information

Child's Name:

Address:


City:

State:      Zip:

County:

Age:
     Birth date:     Gender: Girl     Boy

Name of Primary Contact:

Relationship to child:

Phone:

E-mail:

Address (type "SAME" if same as child's):

City:

State: Zip:

Name of Secondary Contact:

Relationship to child:

Phone:

E-mail:

Address (type "SAME" if same as child's):

City:

State: Zip:


School Information

Child's School:

Grade your child will be entering in the fall:
Name of your child's vocal music teacher:



Musical Background

Prior Musical Training, if any:


Instrument:   Years of training:
Details:


Vocal or Choral Experience:

How did you learn about the Children's Chorus of Maryland?
Flyer            Friend   Magazine   Music teacher
Newspaper    Radio    Television  Web site
Yellow Pages Other (Explain below)

If other, where?:


Comments: