Registration for AYS Together, We SING! Class OCT 17-DEC 12
The ATLANTA YOUNG SINGERS (AYS) Together, We SING! is a class offered for 8 weeks to current Kindergarten and First Grade children. The class will meet weekly on Wednesdays, OCT 17-DEC 12 3:45-4:30 PM at the AYS studios housed at Church @ Ponce & Highland, 1085 Ponce de Leon Avenue, NE Atlanta, GA 30306 . The fee for the 8-week series is $125, and class is limited to 12 participants. Please contact AYS at 404.873.3365 or info@aysc.org if you have any questions.
LAST Name *
child
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FIRST Name *
child
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SCHOOL *
Your answer
GRADE *
Your answer
DATE of BIRTH *
MM
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DD
/
YYYY
STREET ADDRESS *
home
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ZIP *
Your answer
CITY *
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Guardian 1 NAME (last, first) *
Your answer
Guardian 1 CELL PHONE *
Your answer
Guardian 1 HOME PHONE
Your answer
Guardian 1 preferred EMAIL ADDRESS *
Your answer
Guardian 2 NAME (last, first) *
Your answer
Guardian 2 CELL PHONE *
Your answer
Guardian 2 HOME PHONE
Your answer
Guardian 2 preferred EMAIL ADDRESS *
Your answer
Does the CHILD receive music instruction at school? *
Does the CHILD receive music instruction outside of school? *
YES, with type of instruction, or NO
Your answer
How would you like to pay the $125 fee? *
How did you hear about Together, We SING! class? *
Please list any relevant medical information - food allergies, other allergies (insect stings, asthma, etc.), medication taken, medication needed during class, any activity restrictions, other concerns/information we should know: *
Please type NONE if no info to share.
Your answer
I agree to supply ATLANTA YOUNG SINGERS with my child’s relevant medical and prescription information, listed above.
By checking this box, I hereby give permission for my child listed above to attend AYS Together, We SING! class held weekly at Church @ Ponce & Highland. I pledge that he/she will abide by the rules of AYS and the Church @ Ponce & Highland. *
Required
I give permission for my child to participate in all activities including, but not limited to: singing alone and with others, folk dances, games, etc. I affirm that he/she is physically able to participate in regular activities that may include jumping, skipping, and other physical activity. Accommodations are made for participants with physical disabilities. *
Required
I understand that my child’s picture may be used in AYS literature. *
Required
I understand that ATLANTA YOUNG SINGERS of Callanwolde is not liable for any illness, accident or injury of a child and acknowledge that my child is covered by our own family’s health insurance and that I am financially responsible for medical treatment if my child should need it. *
Required
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