Spring 2026 Registration for RCB Youth Music Programs

Please note: You must fill out each section of this form. If a particular section does not apply to your child, please type "N/A" in the available field, or check the "N/A" option of the checklist. For additional information please email Music Director, Yuliia Billa at ybilla@reformedchurch.org, or Sarah Underhill at sarah.m.underhill@gmail.com.

Child's Name

Child's Date of Birth (mm/dd/yyyy)

Address

School Grade

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian Email

This address will receive a confirmation email

Emergency Contact 1 Name

Emergency Contact 1 Cellphone #

Emergency Contact 2 Name

Emergency Contact 2 Cellphone #

Choirs meet throughout the week in the afternoon.

Choose Choir

Please select all that apply.

Cherub Choir - 4's-K, Wednesdays, 4 - 4:30 p.m. Carol Choir - 1st - 3rd grade, Wednesdays, 4:30 - 5 p.m. Cathedral Choir - 4th - 5th grade, Wednesdays, 4:30-5 p.m. Chapel Choir - 6th - 8th grade, Wednesdays, 5:00 - 5:45 pm Kirksingers - 9th - 12th grade, Wednesdays, 5:00 - 5:45 pm N/A

All groups meet on Sundays.

Choose Group

Please select all that apply.

Whitechapel Ringers - 6th - 8th grade, Sundays, 12:00 - 1:00 p.m. Kirkringers - 9th - 12th grade, Sundays, 1:00-1:45 p.m. N/A

General Information

Allergies you wish us to be aware of:

Medical conditions you wish us to be aware of:

I give permission for my child's image to be used in all RCB publications (social media, print, website).

Please select all that apply.

Yes No

Spring 2026 Registration for RCB Youth Music Programs

Description

Please Fix the Following