Sing Smart Act Smart

Sing Smart Act Smart Youth Application

Welcome to SSASY! We look forward to your participation. Questions? adrielle@singsmartactsmart.com.

Choose a program. *

Weekend Group

Private Sessions

Both

Student's Name *

Student's Age *

Name of Parent or Legal Guardian *

Student's Gender

Male

Female

Email of Parent or Legal Guardian *

Phone number(s) of Parent or Legal Guardian *

Emergency Contact *

FOR YOUR CHILD: What do you like best about music? *

FOR YOUR CHILD: What are your favorite songs and who are your favorite singers? *

Communicate to us anything else we should know about your child at this time, including training, interests, health conditions, injuries, psychological issues, and all other useful information.

View our calendar to choose class dates. Email adrielle@singsmartactsmart.com to reserve. We create a document on Dropbox that we wil share with you so you may always view your current schedule with us.

Please type any voucher or coupon code here:

________________________ *

I ceritfy that all the information in this application is true to the best of my knowledge. I certify that I have read, understand, and agree to the enrollment terms and conditions, the attendance & cancellation policy, and class viewing policy. I understand that Sing Smart Act Smart is not responsible for any damages, losses, or injuries incurred during class.