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¡Bienvenido!

INFORMACIÓN DEL ESTUDIANTE:

GIRLS CHORAL ACADEMY
ENROLLMENT FORM FOR
"MUSICAL MINDS"
SUMMER PROGRAM, 9 AM to 12 PM - JUNE 11 -JULY 19, 2024
TUES - FRIDAYS
5. Grade of child in school in the fall of 2024

INFORMACIÓN DE CONTACTO DE EMERGENCIA Y PARA PADRES:

8. OK to text?
11. OK to text?
15. Was student an enrolled singer at The Girls Choral Academy during 2023-2024 school year?
16. Select T-Shirt Size

HISTORIAL DE SALUD DEL ESTUDIANTE

19. Student’s vaccinations are up to date/current:
21. Check if student has any of the following allergies:
20. Check if Student requires any of the following:

SEGURO DE SALUD

24. Is this Student covered by family medical / hospitalization insurance:
30. Demographics - Please check one:

Como padre o tutor legal del estudiante y menor de edad mencionados anteriormente, y excepto donde se haya indicado expresamente anteriormente, por la presente doy mi permiso para que el estudiante participe en el programa de verano Musical Minds y otorgo permiso a Girls Choral Academy para solicitar asistencia de emergencia. atención médica para mi hijo en caso de que fuera necesario.

Your registration has been received. Applicants will be notified no later than May 7th by Ms. Lisa Knight as to the status of their registration. Questions? lisa@girlschoralacademy.org. Thank you !

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