CHILDREN'S REGISTRATION 2010-2011
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Joy Choir: Grades 1-2 | Tuesdays, 5 — 5:30 p.m. | Choir Room
Alleluia Choir: Grades 3-6 | Tuesdays, 6 — 6:45 p.m. | Room 207
Junior Bells: Grade 3 and up | Sundays, 12:15 — 1 p.m. | Room 204



 Parents’ Last Name

 Parents' First Names

 Home Address


 City
State Zip

 Phones: Home Work (optional) Cell (optional)

 Email


Emergency contact: Name


Phone
Cell

Do you attend church at Valley?
Yes, member                    Yes, regular attender

                                               
Yes, occasional attender   No

 I am registering my child(ren) for:

Joy Choir:

     Child’s name
  Grade   Allergies

Alleluia Choir:

     Child’s name
  Grade   Allergies

 Junior Bells:

     Child’s name
  Grade   Allergies




Enter the numbers as they
are shown in the image above

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