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304 East Church Road, Sterling, VA 20164 703-430-6455

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Grow
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Home › Resources › Music Ministry Forms

Music Ministry Forms

Personal Information

First Name *
Middle Name
Last Name *
Preferred Name Student's preferred name (nickname, etc.).
Home Phone *Student's home phone.
Cell Phone Student's (or parent's) cell phone.
Email *Student's (or parent's) email address.
Mailing Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Birthdate *Student's birthdate.
Grade *Student's grade in school.
Mother or Legal Guardian's Name *
Father or Legal Guardian's Name *

Music Group Selection

Group Selection *
Please select which musical group you are signing up for.Little Angels Choir (Preschool - Grade 1)Chancel Chimes (Beginning Chimes)Children's Vocal Choir (Elementary Ages)Joyful Noise Ringers (Children's Bell Choir)Celebration Ringers (Youth Bell Choir)Stellar Harmony (Youth Vocal Choir)LifeSigns Youth Fellowship Praise TeamYouth Musical ProductionYouth Choir TourGood Vibrations Adult Bell Choir (Beginning/Intermediate)Carillon Ringers Adult Bell Choir (Advanced)Aldersgate Adult Vocal ChoirContemporary Worship Praise TeamAmigos Praise TeamEnsemble or Soloist

Medical Information

Allergies/Medical Conditions
Please describe any allergies or medical conditions the student has.
Emergency Contact Name Please provide the name of an emergency contact to be called if the parents/guardians are unavailable.
Emergency Contact Phone Please provide the phone number for the emergency contact.
Medical Insurance Note For security purposes, we do not collect medical insurance information through our online form. You will be contacted by the church office shortly after registration is completed to provide medical insurance information for your child.

Dismissal Information

May your child be dismissed on his/her her own? *
YesNo
Who in addition to parents may pick up your child from rehearsal?

Additional Information

Volunteering *
Would you be willing to be on the volunteer list?YesNo
Media Release Statement
When participating in church activities, your child may be photographed for print, videotaped, or electronically imaged. Images may be used in promotional materials, news releases, and other published formats for Sterling UMC. The images are the sole property of Sterling UMC.

If you do not want your child's image used, please click NO.
No

Verification

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304 East Church Road
Sterling, VA 20164

703-430-6455

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10 AM - Amigos Service
11 AM - Contemporary Worship

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