First Steps Form SINGER INFORMATION Singer's Name: FIRST LAST Select the class you are registering for: 3-5 year old class - Arts United Center, Saturdays 11:00-11:30 Birth Date: (MM/DD/YYYY) Race*: BlackAsianBi-racialCaucasianLatinxOther *This information helps us apply for funding for this program, and ensure that we are reaching all demographics. PARENT/GUARDIAN INFORMATION Name: FIRST LAST Address: City: State: Zip: Cell Phone: IMPORTANT: Please enter the primary email address in which you prefer we communicate: HOW DID YOU HEAR ABOUT US? ---Internet searchTV adFamily memberFriendYour church/schoolMailerYouTube videoSocial mediaOther If you selected "other" above, please explain: PHOTOGRAPHY RELEASE: I give my permission for my child’s image to be used in all marketing materials. YesNo Comments and/or Additional Information: Important! Please be sure to review this form and verify that all of the required fields are complete prior to submitting. If you are unable to submit the form or receive an error message, please call the Fort Wayne Children's Choir office at (260) 481-0481. Δ