Braeswood Assembly of God

Student Ministries' Youth Choir - INTEREST FORM

Thank you for expressing interest in joining our all-new Youth Choir. Please fill out your information below, and someone will be in contact with you as soon as possible. And, THANK YOU for accepting our invitation to "worship God and edify audiences."

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STUDENT'S INFORMATION

Name *


First Name	Last Name

What is your vocal range? *

Select one

Date of Birth *

Click in box to select date

Gender *

Select one

FEMALE
MALE

Current Grade *

Select one

Cell Phone (If you don't have a cell phone, put down your home phone #) *

Phone Number

Current Mailing Address *


Address

Address Line 2

City	State	Zip Code

Email Address

PARENT INFORMATION

Dad's Name


First Name	Last Name

Dad's Cell Phone

Phone Number

Mom's Name


First Name	Last Name

Mom's Cell Phone

Phone Number

WEEKEND CHURCH PARTICIPATION

How frequently do you attend Braeswood Church? *

Select one

Every week
2-3 times a month
Every month or so
Just visiting... I go to another church

How often do you participate in weekly youth group programming? *

Select one

I come every week
I am at youth group, most weekends
I come, once in a while
I stay with my parents, always

* required