Song Creator Workshop Registration Form

Young Icons Song Creator Workshop

Our workshops allow youth between ages 10yrs-17yrs to explore the art of song making, from song writing to sampling, and recording.
Young Icon's Information

Personal, Health, and Contact
Name

First NameLast Name
Birth Date

MonthDayYear
Age (at time of workshop)
Grade (entering this fall)
List Any Allergies and Dietary Restrictions
Medications & Frequency
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information if Icon is under18

(All correspondence will be sent to this person)
Name

First NameLast Name
Email
example@example.com
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship with the Young Icon
Emergency Contacts and Authorized Pick Up Persons
Charlotte Area Fund is your local Community Action Agency (and our partner) offering FREE Workforce Development Training to all who are eligable.

Charlotte Area Fund also partners with LISC Charlotte to provide Financial Management through our FOC Program to help families to get on track finacnially or stay on track. This service is available to anyone and does not require eligibility.

Click the link for more information and apply today!

https://www.charlotteareafund.org/
Program Information

Program & Transportation & Payment
Saturday Workshop Schedule

Dec 20th
Terms & Conditions
Date

MonthDayYear
Date
Signature

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Young Icons Song Creator Workshop

Young Icon's Information

Parent/Guardian Information if Icon is under18

Program Information

Terms & Conditions