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Programming
Upcoming Programs
Miracle Choir
Digital Programs
Mobile Programs
Student Registration
Get Involved
Volunteer
Donate
Amazon Wishlist
Resources
Resource List
Blog
About Us
Who We Are
Meet The Team
Media
Sponsors
Meet Courtney
Contact Us
DONATE
Student registration!
We can't wait to sing with you!
Student's Info
First Name*
Last Name*
Gender*
Select one...
Male
Female
Birthday*
T-Shirt Size*
Small
Medium
Large
XL
2X
3X
Medical Diagnosis*
In order to best serve your student, please list any medical diagnosis. Examples: Autism, Developmental Delay, Down Syndrome, Cerebral Palsy, etc.
What is the primary way the student communicates?*
Select one...
Verbal
Non-verbal
American Sign Language
Mostly Communication Device
Does the student require ambulation or a mobility device? *
Examples: wheelchair, walker, braces, etc.
Yes
No
Does the student have any allergies?
Emergency Contact Name*
Emergency Contact Phone Number*
Parent /guardian's Info
First Name*
Last Name*
Phone Number*
Email*
Address*
Preferred Contact Method*
Select one...
Text
Email
Phone Call
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