Kemble Choral Festival Registration Form

Come have fun with us! Students from ages 7-15 are invited from across Gloucester county to join the Music Program at Kemble Memorial UMC for an intensive Saturday session of choir rehearsal, fun, and friendship, culminating in a wonderful afternoon concert!

January 20th, 10:00am-2:45pm; recital at 3:00pm (Snow Date: Jan. 27th)
Three Age Groups: 7-9, 10-12, 13-15

More than one child? Please submit a separate registration for each child. Questions? Please call the church office @ 856-845-1627.

Child's Name

AGE (Age your child will be on January 20th)

Parent/Guardian

First Name

Last Name

Telephone:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Health Concerns/Allergies?

Emergency Contact: (Name & Phone)

By Checking yes below, you give us permission to seek immediate medical help for your child in case of accident or emergency

Yes I give my permission

No, I do not give my permission

Photo Release Permission

I grant to Kemble UM Church, its representatives and employees the right to take photographs of my child in connection with the Summer Music Camp. I authorize Kemble UM Church to use and publish the same in print and/or electronically. I agree that Kemble Memorial UM Church may use such photographs without my child's name and for any lawful purpose, including for example, such purposes as publicity, illustration, advertising, and Web content.

Yes I have read, understand, and agree to the photo usage policy

I have read and understand the policy, but do not give my permission