SAY: Confident Voices: Song and Spoken Word Project Enrollment Form (ONLINE)
THIS IS THE ENROLLMENT FORM FOR OUR ONLINE SESSIONS. To find the application form for our NYC in-person session, please click here: https://forms.gle/baKZuNhasZv3mxfQ7

Confident Voices Online: Song and Spoken Word Project is an 8-week program for kids & teens who stutter (ages 8-18) in NYC, the Tri-state area & beyond!

We will be offering each week:
- three online sessions
- one in-person session, held at SAY's midtown offices, 247 West 37th St, 5th floor 

*About the Song and Spoken Word Project!*
In this brand new fall program, participants will explore the dynamic mediums of songwriting and spoken-word poetry! Using our powerful voices and imaginations, we'll engage with themes of self-empowerment, hope, stuttering, advocacy, anti-racism, and equality. Together we'll create beautiful poems and songs, with the help of our amazing staff of Teaching Artists. Special guest musicians and poets will also be brought in to facilitate the creative process.

Over the course of 8 weeks, participants will be invited to give voice to their ideas, take part in great conversations, build community, and have fun! At the end of the Project, participants have the option to present their creations in front of a warm, safe and supportive audience (if they choose to)! The program will be led by Confident Voices co-Directors Kate Detrick and Aidan Sank, as well as SAY's incredible and award-winning Musical Director, Everett Bradley.
Please know, as is true in all of our programs, *NO experience with poetry and songwriting is necessary*. We will be taking an instinctive, step-by-step approach, emphasizing self-expression and empowerment. All sessions will be structured around each individuals' needs. We strongly believe that in any art form, there is always something for everyone.

At SAY, everyone has as much time as they need to speak. Participants are encouraged to be confident in their unique and powerful voices, and to express themselves freely in a fun environment where it is really, really ok to stutter.

This program is offered free of charge. Application form must be filled out by a parent/guardian.

Please fill out the form below to enroll your child in the Confident Voices Online: Song and Spoken Word Project. 
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Email *
Confident Voices Online: Song and Spoken Word Project dates (8-week program):
Participant first name *
Participant last name *
Participant date of birth: *
Participant age: *
Participant grade: *
Participant identifies their gender as: *
Parent / Guardian name: *
Relationship to child: *
Parent / Guardian contact number: *
Street Address *
Apartment/Unit Number (if applicable)
City *
State/Province *
Country *
Zip Code *
Which timezone are you in? *
List of timeslot options (each participant will choose ONE):
Which online timeslot would you like to enroll your child in? (choose one) *
My child has access to the following device(s) to use during online programming (select all that apply): *
Required
What is the impact of stuttering on your child's life? *
Why is SAY important to your family? *
Do you agree to our Terms & Conditions below? (Must be filled out by parent/guardian) *
Terms of Agreement
1. Parents must notify SAY if their child will be missing part or all of a SAY program or event at least 24 hours BEFORE the SAY event begins. If your child is sick, will be late to, will leave early from, or will miss a SAY program or event, please contact Director of Confident Voices, Kate Detrick or Artistic Director of Confident Voices, Aidan Sank. SAY Cell Phone: (917)-697-7183.

2. SAY is supported by the community, and its programs are typically offered to its participants for much less than the actual cost of the program expenses. However, at this time, all Confident Voices sessions are being offered FREE (while space lasts).

3. SAY is a positive and safe environment. Accordingly, SAY reserves the right to ask a child to leave the company, in its sole discretion, whose behavior resembles the following: a) excessive violent/disrespectful behavior, b) excessive lateness or absences, c) any possession of drugs, alcohol, or weapons.

4. Attendance problems adversely affect SAY's programs, and ultimately your child's experience in those programs as well. Because of this, your child may be asked to leave the program if they are excessively absent. This decision will be made on a case-by-case basis at the Directors' discretion.

5. I understand that Confident Voices Online: Song & Spoken Word Project is an online program, taking place using Zoom Video Communications.

6. Families and individual participants may not make contact with SAY employees via personal cell phones, email, or social media (Facebook, Instagram, Snapchat etc.). If a family wishes to make contact with a specific SAY employee, please contact one of the Directors via email (kate@say.org, aidan@say.org) or phone (917-697-7183).

7. Individual SAY employees are not permitted to accept gifts or monetary tips of any kind from families or participants. If a family wishes to give a greeting card or thank-you note to a specific employee, the card may not be presented directly to the employee, but can be given to one of the Directors to be passed along. In addition, express agreement from one of the Directors must be obtained in advance if a family wishes to provide any edible items to share with SAY participants and/or staff.

8. For good and valuable consideration we hereby consent to and authorize the reproduction, publication and use by SAY of any photograph, picture, sobriquet, voice or likeness of my child.

9. I further give permission and consent that any such photographs may be published and used by SAY and the American Camp Association® and its agents, to illustrate and promote the participant experience, SAY and its programs, or the American Camp Association.

In accordance with applicable federal laws, SAY provides equal opportunities to employees and applicants without regard to age, race, religion, ethnicity, veteran status, disability, gender identity, or sexual orientation.
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