Harmony Playground Registration Form

* Indicates required field

Singer Name *

First

Last

Age *

How did you hear about us? *

Parent/Guardian Name *

First

Last

Email *

Phone Number *

Text Number *

Mailing Address *

City *

Zip *

Additional parent/guardian contact information *

Second adult last name (if another adult will also be responsible for the singer’s transportation and participation) *

First

Last

Phone number *

Text Number *

Email *

Additional second adult contact information *

The student and I understand that they are expected to be respectful, responsible, safe and kind. *

Yes

Submit