Jubilate! Application
Christ Church United Methodist
Children’s Registration Form / Please fill out one form per child
Child’s Name ________________________________________________________________
Parent’s Name ________________________________________________________________
Address ________________________________________________________________
City, State, ZIP _____________________________________________________________
Home # _______________________ Work # _______________________
Mom Cell _______________________ Dad Cell _______________________
Mom E-mail _____________________________________________________________
Dad E-mail _____________________________________________________________
Birthday Month________Day_______ Year_______ T-Shirt Size_____________
Elementary School Attending _____________________________________________
Age 0-2______2-4_______K_______1_______2_______3_______4______ 5______
Check the group(s) in which you are interested in joining:
Sunday
Jubilate! Choir _______________4:45-6:00 CCUM's Children's Choir/no charge
Grades K-5
Monday
ACC’s Canzona _______________5:00 - 6:00 Registration $150.00 (made payable to ACC)
Grades K-2
Tuesday
Jubilate! Arts _______________2:45 - 5:30 $75 fee per child (Made payable to CCUM)
Grades K-5 (additional $10 pick-up fee per semester)
Thursday
Musikgarten _______________9:30-10:00 Musikgarten's "Twist and Turn" 0-4 yrs
Registration $30 / Fee $50.00
(Made payable to CCUM)
ACC’s Chamber _______________5:30 - 7:00 Semester $225.00 (made payable to ACC)
Grades 2-5
For additional information please contact:
Christ Church United Methodist
1221 Quarrier Street
Charleston, WV 25301
Noel Hardman, CCUM Music Assistant
342-0192 ext. 222
