You have indicated that you are registering for our new Elementary Social Group. Please note that this group is tentatively scheduled for Thursdays at 4:00pm, but will not be held if we do not receive enough registrations. If you have any questions, please contact Amanda at firstname.lastname@example.org.
To continue filling out this form, please click "Next."
In the event of an emergency requiring medical attention, I understand that Sing Explore Create, LLC will make every effort to contact and notify the listed parent/guardian and emergency contact listed above. However, if neither can be reached Sing Explore Create, LLC reserves the right to call emergency personnel to transport the student/client to the nearest medical facility to secure necessary medical treatment. This applies to sessions at our center, at-home visits, and online sessions.
Note: When you click the submit button below, you will be redirected to another form where you will be able to make a payment.
After submitting this form, you will also receive an automated email summarizing your responses here. This email may go to your spam folder.
If you have any questions or concerns, please contact Amanda at email@example.com