Sing Out! Registration Form

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Sing Out! Registration Form - Summer 2021

Thank you for your interest in Sing Out!: Singing for Queer, Trans & Ally Teens.

This class is for ages 13 - 18.

We will meet online on Tuesdays, June 29 - July 27, 2021, at 4:30 - 6 pm pacific / 7:30 - 9 pm eastern.

You can find full info on the class here: https://www.eliconley.com/group-classes.html#singout

If you have any questions, please contact me at SingWithEli@gmail.com.

First Name: *

Last Name: *

What gender pronouns do you go by? (i.e. she/her, they/them, he/him, ze/hir, etc) *

Phone Number: *

Is it okay to send text messages to this number? *

Yes

Other:

E-mail: *

This class is for teens ages 13 - 18. How old are you and what grade are you going into in the fall? *

Where are you located (city & state/province)? *

Parent or Guardian's Name (if applicable):

Parent or Guardian's Phone Number (if applicable):

Parent or Guardian's E-mail Address (if applicable):

This class is for queer, transgender, and questioning people, kids from queer families, and straight allies. How do you identify? *

How did you hear about this class? (My friend Mary Smith, a flyer at Peet's Cafe, Yelp...) *

What is your background with music (if any)? *

Who are some of your favorite singers?

Do you have any access or learning needs you would like me to be aware of?

This class is offered on a sliding scale. The actual cost of the class is $250. Spaces below that rate are limited. Please read through each tier below before choosing what rate you will pay. *

Standard Rate: $250 (Unlimited spots) - Consider paying at this level if one or more of the following apply: Your family sometimes stresses about meeting basic needs (food, housing, medicine, childcare) but still regularly achieves them, your family is able to buy some new items and thrift others, your family can travel every 2 - 3 years without burden, your family has some debt but it does not prevent access to your basic needs/wants.

A Little More: $325 (Unlimited spots) - Consider paying at this level if one or more of the following apply: Your family is comfortably able to meet your basic needs (food, housing, medicine, childcare), your family owns a newer car and/or a home or rents a higher end property, your family has access to financial savings, you parent or guardians have reliable work or do not need to work to meet your family's needs, your family has investments, your family can afford to travel every year, your family has expendable income.

A Little Less: $175 (3 spots) - Consider paying at this level if one or more of the following apply: Your family has very limited expendable income, your parents or guardians are unemployed or have unstable employment but are still able to meet your family's basic needs, your family has little or no access to savings or financial support from your extended family, your family has higher debt that requires some sacrifices on needs/wants.

Full Scholarship (2 spots) - Two full scholarship spots are available for participants who are Black, Indigenous, and/or People of Color, trans women and trans femmes, and teens who don't have financial support from family.

To complete your registration and hold your spot in the class, please pay the class fee you selected above. How will you pay? *

Venmo to @Eli-Conley (Phone number 510-559-0301)

Paypal at this link: paypal.me/SingWithEli (Please do it as "friends and family" to avoid added fees.)

I am requesting a full scholarship.

The deadline to withdraw from the class and receive a refund is Monday, June 28th. If you withdraw after June 28th, you will not receive a refund. *

I understand and agree.

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Do you have any questions for me or anything else you'd like to say?

Thank you for signing up for Sing Out!

Please submit this form and check your e-mail for confirmation.

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