Songwriting for Children - Sign Up Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastDate of Birth *Parent/Guardian's Name *FirstLastRelationship to Child *Phone Number *Email Address *Emergency Contact Name *FirstLastPlease provide a different contact to the aboveRelationship to Child *Emergency Contact Phone Number *Medical Conditions/Additional NeedsAnything that you feel would be useful for us to knowMusical ExperienceYour child does not need to have any prior musical knowledge to partake in this session, but if they are already learning an instrument or if they have had any musical experience that might be of interest, let us know here!Do you consent to photos/videos being taken by us for promotional purposes? *YesNoAdditional Comments/ConcernsSubmit