HarMinis Performer Registration: Fall 2023

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Welcome to HarMINI's performer registration. HarMINIs is a musical theater group for children ages 3-10, branching off of "Harmony". Throughout the semester, we will focus on singing and dancing, and fostering relationships between Penn State Student volunteers and children both with and without special needs. This program is free for all performers, and will be run by volunteers who have gone through special education training, and who all have up-to-date background checks.

HarMINIs will be meeting in person every Monday from 5:15-6:00 pm this semester in the HUB Dance Studio (HUB Room 232). We will be having our first rehearsal on Monday, September 11th. Please fill out this form by September 3 if you wish to participate this semester!

If you have any questions, please feel free to email us at harmony.psu@gmail.com. We are so excited for another semester with our Harmony family, and we can't wait to see you soon!

First Name of Student *

Last Name of Student *

Date of Birth *

YYYY

Diagnosis *

So that we can better work with our students, please indicate their diagnosis to the best of your ability.

Autism Spectrum Disorder

ADD/ADHD

Anxiety

Down Syndrome

Dyslexia

Hearing Impaired

Obsessive Compulsive

Terrets

Visually Impaired

Cerebral Palsy

No Diagnosis

Other

Required

Any medical issues, behavioral triggers, or other information that we should be aware of? *

Any allergies we should be made aware of? *

How did you hear about us? *

Word of Mouth

Social Media

School

Local store or Library

Newspaper/Magazine Article

Other:

Required

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