St. Philips Church - Sign up for St. Nicholas Choir

After you submit this form, you will be directed to a page containing a medical release form.

Download the form, complete and sign it, and bring or mail it to the church:
St. Philip's Church
Attention: Jo Hethcox
142 Church Street
Charleston, SC 29401

ST. NICHOLAS CHOIR REGISTRATION
NOTE: If you are registering more than one child please complete a separate form for each chil.
Name of Child
*
Nickname (if any)
Full Name of Parents/Guardian(s)
*
Address
*
City:
State:
Zip Code:
Email Address:
*
Home Phone
*
Work Phone (Hers)
Cell Phone (Hers)
Work Phone (His)
Cell Phone (His)
Emergency Contact
*
Emergency Contact Phone Number
*
ABOUT YOUR CHILD
Birthdate
*
Age
*
Grade
*
School
*
Food/Medical Allergies
*
Date you are submitting form
*
Security code:
*
Do not enter anything in this field:

* indicates a required field