TI-26 - Community Registration + Consent

ABOUT TUNING IN
Tuning In is a mindfulness-based music therapy program developed and facilitated by Augusta Symphony's Community Chords Music Therapy. Its goal is to increase participants' stress management skills through education, experiential self-care, and discussion/reflection.

Community sessions are open to the public and are held at the Knox Music Institute at the Miller Theater in downtown Augusta.

Tuning In's community sessions are free thanks to grants from local and national organizations.

For further information, contact Veronica at communitychords@augustasymphony.com

REGISTRATION is OPEN for FALL 2025!
REGISTRATION
Participant Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
We text reminders the day of the session to help everyone remember!
Date of Birth

MonthDayYear
Date
How have you interacted with the Augusta Symphony prior to Tuning In?

This is my first experience/interaction with the Augusta Symphony.I have attended Augusta Symphony concerts at the Miller Theater.I have attended other events hosted and coordinated by the Augusta Symphony.I have previously attended Tuning In.
How did you hear about Tuning In?

Email from the Augusta Symphony or Miller TheaterSocial MediaPoster seen around townA friendOther

Scheduling

In Fall 2025, Tuning In will be held on Tuesday evenings from 5:30PM - 6:15PM at the Knox Music Institute at the Miller Theater. Below select the Tuning In sessions for which you would like to register. Please thoughtfully consider your schedule and your commitment to come to sessions in your registration.
Session Dates*
Seating

We will have several options for seating at our sessions. There are 10 zero-gravity chairs available and they are filled on a first come, first served basis on the night of the session. The facilitator will reserve one or two of these chairs for anyone who may need accommodations. Straight back chairs and yoga mats are also available. You are welcome to bring your mats and/or blankets as needed.

INFORMED CONSENT
Read each statement below and check to acknowledge your understanding and acceptance.*

I understand that there are both potential risks and benefits involved in participation. The following considerations are important:
- Practices and experientials are invitations to pay attention and increase awareness so some participants may become more aware of emotional, mental or physical patterns or qualities that have long been overlooked.
- Feelings of sadness, anxiety, anger, or fear may seem stronger at the beginning, especially given the uncertainty in the world in this time.
- During mindful movement practices, it is important to honor the limits of our bodies and to only move in ways that are physically safe for each individual.
- Benefits of participating in this program may include an increased sense of well-being, improved sleep, better self-care, less reactivity, and more.
I understand the concept of confidentiality and its importance in creating and maintaining safety and trust for myself and fellow participants. I am committed to maintaining the privacy of participants, during and after sessions.I understand that this program is psychoeducational and is not group psychotherapy or intended to address or resolve specific personal issues. The program can be therapeutic and beneficial to participants’ emotional and physical well-being.I understand that if I have a major mental illness or suicidal thoughts or a history of psychiatric hospitalization, I should discuss with and get approval from my health care providers before my participation. Furthermore, I should discuss this privately with Tuning In facilitator to ensure my safety and well-being.
COVID policy [Please check below to acknowledge understanding.]*

At the time of scheduling, the CSRA community is experiencing fewer COVID cases and lower transmission rate; however, the local situation may change. I understand that any change in health and safety requirements will be announced a week before each session.
Cancellations/No Show [Please check below to acknowledge understanding.]*

I understand that space in sessions is limited and I will give notice to the facilitator if I am unable to attend a session for which I registered.
Telephone & Email Communication Consent*

As a participant in Tuning In, I may receive emails containing links to audio recordings as well as information and reminders about aspects of the program. From time to time, it may also be necessary to communicate via telephone, including text message. In order to ensure privacy, I consent to receive emails and text messages at the address/number provided.

Share the love!

Tuning In is currently funded by a grant; however, we would like to make Tuning In sustainable. We have adpoted to a donation-based/pay-what-you-can model. Please consider donating using the link below to donate now!

DONATE TO SUPPORT TUNING IN!
Signature*

Clear
Should be Empty:

ABOUT TUNING IN

REGISTRATION

Scheduling

Seating

INFORMED CONSENT