Globe LC Songwriting

Globe Lower Campus Songwriting Class
Location: 1985 Azalea Circle, Decatur, GA 30033
Day: Mondays (12 Weeks)
Time: 3:00 PM – 4:00 PM

Class Dates:

January 26
February 2, 9, 23
March 2, 9, 16, 23, 30
April 13, 20, 27

Child Information

Child's Name

First NameLast Name

Birth Date

MonthDayYear

Homeroom Teacher

Carpool Number

Grade

Please select the group your child is in.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Release to

Parent/Guardian Information

Parent Name

First NameLast Name

Phone Number

E-mail

Emergency Information

Emergency Contact's Name

First NameLast Name

Contact Number

Relationship

Media Consent

At A Time To Create, LLC, your child’s safety is our top priority. With your permission, we would love to celebrate and share the creativity of our students by displaying pictures or short video clips of their songs, artwork, and class activities on A Time To Create’s official platforms.

I hereby give permission for images of my child, captured during the A Time To Create songwriting programs (through sound, video, photo, or digital camera), to be used solely for the purposes of A Time To Create websites, social media, promotional materials, and publications. I understand that these images will always be used respectfully and safely, and I waive any rights of compensation or ownership thereto.

To see how we share student creativity, follow us on Instagram:

https://www.instagram.com/at2cme

Please select Accept if you agree with the media consent. Select Decline if you decline.

Signature

Select Payment Option

Registration Fee$40.00

Full Payment | Songwriting Class | Globe Academy $300.00

Full payment option.

Half Payment | Songwriting Class | Globe Academy $150.00

Half payment option: Pay half now and you'll receive an invoice for $160 ($150 + $10 processing fee) to complete payment.

One-Third Payment | Songwriting Class | Globe Academy$100.00

Pay a third of registration today and you will receive a remaining balance invoice for $210 ($200 + $10 processing fee) to complete payment.

Select Class Journal. During class, we use an interactive Self-Expression Songwriting Journal that guides students through the songwriting process, helps them identify their emotions, and provides access to online mini-lessons they can use at home. For early learners: If your child needs extra support with reading or handwriting, we recommend selecting the K–1 Journal, which includes space for students to both draw and write their emotions. ***For returning students: Please do not select this option. Bring your previous journal to class.***

Select Class Journal$11.50

During class, we use an interactive Self-Expression Songwriting Journal that guides students through the songwriting process, helps them identify their emotions, and provides access to online mini-lessons they can use at home. For early learners: If your child needs extra support with reading or handwriting, we recommend selecting the K–1 Journal, which includes space for students to both draw and write their emotions. ***For returning students: Please do not select this option. Bring your previous journal to class.***

Select Journal Type

Sponsor another student for the AT2C Songwriting Class. Your monetary gift will be added to a scholarship fund to assist students in need participate in the afterschool songwriting enrichment class. Thank you : )

Sponsor another student for the AT2C Songwriting Class$20.00

Your monetary gift will be added to a scholarship fund to assist students in need participate in the afterschool songwriting enrichment class. Thank you : )

Quantity

Enter coupon

Total $0.00

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

GLOBE Lower Campus Registration

Select Payment Option*

Select Payment Option