Songwriting Class Journal & Media Consent

Songwriting Class Journal & Media Consent

Please complete the form below and select self-expression songwriting journal for class.
Student Name*

First NameLast Name
Select student group*

Group A (ages 9-13)Group B (ages 6-8)
Select class location
Parent Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Media Concent

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.*

AcceptDecline
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Please Select and Complete Payment For the class songwriting journal.

Self-expression Songwriting Journal (Paperback) Product Image

Self-expression Songwriting Journal (Paperback)This interactive songwriting journal will be used during class and can also serve as a creative tool for students to continue using after the sessions. *Recommended

$15.99 Quantity

Self-expression Songwriting Journal (Hardcover) Product Image

Self-expression Songwriting Journal (Hardcover)This interactive hardcover songwriting journal will be used during class, and students can continue using it after the sessions. This version is more durable. *Recommended

$21.99 Quantity

Early Learners Edition: Songwriting Journal Product Image

Early Learners Edition: Songwriting JournalEarly Learners Edition — perfect for students in grades Pre-K to 1st who need extra handwriting practice. This journal provides space for learners to draw their emotions and write their own songs on spacious, easy-to-use lines. Students also have access to a feelings chart to help identify and explore different emotions.

$17.99

I will use privously purchased journal/ provide a journal for classPlease select this option if your child participated an already has the self-expression songwriting journal or you will provide them with a journal for class.

$ Free

Total

$0.00

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