2018-19 REGISTRATION

Please Complete Parts 1, and 2

 

Part 1

Part 2

Student's Name *
Student's Name
Gender *
Address
Address
New or Returning Student? *
Date of Birth *
Date of Birth
Parental Contact #1 *
Parental Contact #1
Address 1 *
Address 1
Parental Contact #2
Parental Contact #2
Address 2
Address 2
If same as Parental Contact #1, leave blank
If same as Parental Contact #1, leave blank.
Please provide name, e-mail, and phone number.
Please provide name, relationship, and phone number.
Student's Name *
Student's Name
Registering for *
Please check all that apply
Please make all checks out to "Children's Orchestra Society" and mail to: 65-03 180th Street Fresh Meadows, NY 11365 c/o Yeou-Cheng Ma