REGISTRATION: "Heartland Voices" Songwriting or Storytelling Program & Showcase

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Please fill out the form below to register for the "Heartland Voices" songwriting & storytelling program for adults and high school seniors.

Email *

Name *

Town/City *

Phone #: *

Would you like to participate as a songwriter or a storyteller? *

Songwriter

Storyteller

Not sure, would like to discuss it

Any conflicts with the schedule? (Totally okay, let's just talk about it!) *

Schedule: Session 1: Saturday, July 2nd from 1-3PM. Session 2: Sunday, July 3rd from 4-6PM. Session 3: Wednesday, July 6th from 11AM-1PM. Showcase Rehearsal: Wednesday, July 6th from 5-7PM *by 15 min appointment. Showcase: Wednesday, July 6th from 7-9PM. **You can miss one of the sessions and still participate in the showcase.

I have submitted my $75 payment via Paypal (https://paypal.me/bencaroncreates) or Venmo (@bencaron). *

Yes

No, I need to pay a different way.

No, I need to pay later.

No, I would like to connect about a scholarship.

Submit

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