2023 Glee Club Music Class

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REGISTRATION for ACYC Glee Club Music Class for singers with special needs

Programming will include a combination of rhythm and Orff Instrument playing, singing, and creative movement.

(8) Saturdays
April 29
May 6, 13, 20
June 3, 10, 17, 24

10:00am - 11:00am
Grades 4 - 12
Singers should sign up to participate in all (8) weeks
Space is limited. Maximum class size is (25)
One parent or guardian is required to attend. All siblings are welcome too!

$40 (for all 8 weeks)
Financial aid and full scholarships are available. Please register and we will contact you with details. All are welcome!

No extra cost for siblings that attend.

Creekside Community Center - Minnesota Valley Room
9801 Penn Ave South, Bloomington, MN 55431
952-563-8572
angelicachoiroffice@gmail.com
www.angelicacantanti.org

Singer first name
*

Singer last name
*

Nickname or what they prefer to be called (if applicable)

Street address

City

State

Zip Code

Singer gender

Female

Male

Prefer not to say

Other:

Clear selection

Singer current grade
*

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Other:

Parent/Guardian first name
*

Parent/Guardian last name
*

List all cell phone number(s) to reach you:
*

List all email (s) to reach you:
*

Confirm email (s) to reach you again:

Names of all adults and relationship attending with singer:

Will any siblings also attend the class?

Yes

Maybe

Other:

Clear selection

Please list siblings names and ages that will come to the class (if applicable)

Can you attend all (8) Saturday classes?

Yes

Maybe

Other:

Clear selection

How did you hear about this class?

Internet or websearch

Friend or family member

Facebook or other social media

Other:

Please list dietary, food, allergies, and any medical conditions or other information that would be important and helpful for us to know to serve your child best. Note if the singer will bring an inhaler, EpiPen etc. *

Does the singer have any choral or musical instrument experiences?

Does the singer have a favorite musical genre, song or artist?

Please describe what evokes anxiety and/or escalating behaviors (participant dislikes):

Do you need Financial Assistance to help pay for this class?

Yes

Other:

Clear selection

Please add any comments, questions or anything else we should know. Thank you!

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