2800 S Camino Del Sol
Green Valley, AZ 85622
Phone: 520.625.5023
Fax: 520.625.4289
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By My Side Chorus Registration Form
*
Indicates required field
Name
*
First
Last
Preferred Name
*
First
Last
Care Partner Name
*
First
Last
Street Address
*
City
*
Postal Code
*
Phone Number
*
Email
*
What voice part do you sing?
*
Soprano
Alto
Tenor/Bass
By typing my name into the box below, I hereby agree to participate and to comply with all regulations and policies. I further agree that I shall be responsible or liable for any loss or damage or injury to all or any part of my vehicle and/or person and I do hereby waive any rights I may against him or any of them for such loss, damage or injury.
Signature
*
There is a registration fee of $25 per singer (for music/materials).
Contact Chris Ericson,
parishnurse@valleypres.net
or
Marlys Fiterman
marlysfiterman@gmail.com
Submit