Fall Session: ProTools 101 Enrollment Form

FALL SESSION: MUSIC PRODUCTION

Wednesdays 3:00–5:00 PM • 10/14 - 12/02
Welcome to Fall Session! 🥳🎶🎸

Music Production • Songwriting • Recording • Making Beats • Pro Tools • Stage setup/teardown • Welcome to Mentoring with Music’s Fall 2026 session — eight weeks of hands-on music creation where young people ages 8–18 can explore their sound, build their skills, and discover what they can create. Students step inside a real recording studio at SUNE Records, 1176 W. North St., Lima, OH 45805, and learn how music goes from an idea to a finished track.They’ll get hands-on experience with music production, songwriting, vocal recording, beat-making, mixing, and the basics of Pro Tools — all while working alongside experienced music professionals who encourage creativity, confidence, and self-expression. Whether your child already writes songs, makes beats, loves to sing, or is simply curious about what happens inside a recording studio, Mentoring with Music is a place to learn, create, experiment, and have fun. Along the way, students build more than music skills. They build confidence, friendships, teamwork, and the courage to let their own voice be heard. 🎶 CREATE IT. RECORD IT. PRODUCE IT. Classes are completely FREE, and we never turn a child away.📅 October 14 – December 2, 2026📍 SUNE Records | 1176 W. North St., Lima, OH 45805 | Call or text Liz Whitney at 614-285-2777 or Jason Henderson at 419-236-6782 | Email liz.whitney@mentoringwithmusic.org or jason.henderson@mentoring.org 🔥 Find your sound. Find your voice. Find your flow. 🥳🎶🔥🎤🥁🎸
Student Information
Student Name

First NameLast Name
Student Age
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student Gender Assigned at Birth
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Phone Number
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Student Email Address
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Experience and Goals
Previous Music Experience
Goals for Creative Development
Parent/Guardian Information
Parent/Guardian Name (if student is under 18)

First NameLast Name
Parent/Guardian Phone Number
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Parent/Guardian Email Address
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Emergency Contact Information
Emergency Contact Name

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Emergency Contact Phone Number
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Email
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Relationship to Student
OhioRISE Students

(We Accept Flex Funds!)
Name

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Is your child enrolled in OhioRISE?
OhioRISE / Flex Funds ID Number
Care Coordinator Information

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Care Coordinater’s Phone Number
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Care Coordinator’s Email
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Sponsorship Option

*FREE Classes for Families on Medicaid or SNAP.
FAMILY ON MEDICAID: Please upload your Medicaid/SNAP card (front and back) and a valid state-issued photo ID.

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FIXED OR LOW INCOME: Working but DO NOT qualify for Medicaid—Upload your last three paystubs for proof of income, and a valid state-issued photo ID.

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Program Fees for Working Families

Families who do not qualify for our sponsorship option may participate at a standard rate of $15 per week for the eight‑week session. This fee supports instruction, materials, and the food, snacks, and beverages provided during class. Families may choose to pay weekly through automatic debit‑card withdrawal, or pay the full session amount in advance at a discounted rate of $10 per week ($80 total). If your family is experiencing financial difficulty, you may select the sponsorship request option on this form or contact Liz directly at 614-285-2777 to discuss a private arrangement.

USD

Payment Methods
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Credit Card Number	Security Code
Expiration Month	Expiration Year

Terms and Conditions:

As the parent or legal guardian, I give permission for my child to participate in the Mentoring with Music program, held at SUNE Records (1176 W. North St., Lima, OH 45805). I understand and agree to the program guidelines. If my child needs to miss a class, I will send a written cancellation to Liz Whitney at liz.whitney@mentoringwithmusic.org at least 24 hours in advance. I understand that missing this deadline may result in my child's temporary suspension from class.
Parental Media Release for Minor

By registering your child for this eight‑week Mentoring with Music session, you, as parent or legal guardian, grant Mentoring with Music and its partners permission to photograph and record your child during classes, special events, and field trips. You consent to the use of these images, audio, and video for promotional, educational, and documentation purposes in any media (including print, website, and social media), without compensation, and you understand they may be edited for length or clarity. Mentoring with Music will use your child’s likeness respectfully and may discontinue future use upon written request, though this will not affect materials already produced or published.
Student/Parent/Guardian Signature
Date Signed

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FALL SESSION: MUSIC PRODUCTION

Welcome to Fall Session! 🥳🎶🎸

Student Information

Experience and Goals

Parent/Guardian Information

Emergency Contact Information

OhioRISE Students

Sponsorship Option

Program Fees for Working Families