musical registration

Fill out the form completely to register.

* Indicates required field

Student Name *

First

Last

Age *

Grade *

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Cell Phone Number *

May we text you? *

Yes No

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

I, as a parent/guardian, allow my child to attend the River Kidz Musical as stated above. I will not hold River of Life Church, the church authorities, or the person(s) in charge responsible should any accident or mishaps occur during the practices/program. *

I Agree.

Submit