GirlSound Inc. Interest Form

The mission of GirlSound Inc. is to introduce and empower young women in underserved communities to music engineering, production, composition, performance and entrepreneurship. It is our desire to 1) give them access to the tools, providing them foundational knowledge of music technology and business and 2) boost their self-esteem and developmental focus through mentorship, exploration and career development.

Parent's/Guardian's First & Last Name

First Name

Last Name

Parent's/Guardian's Email

Parent's/Guardian's Phone Number

(###)

###

####

Student's First & Last Name

First Name

Last Name

Student's Email

Student's Phone

(###)

###

####

Student's Birthday

YYYY

What school does your student attend?

Student's grade?

My Student is interested in:

Music production/Engineering

Songwriting/Singing/Rapping/Spoken-Word

Business & Entrepreneurship

Do you have specific questions about the program?

Did someone refer to our program? If so, who?

By checking the box, I affirm that the minor indicated above is my child and that I have legal custody ofher/him. I give my full authorization and consent for my child to participate in GirlSound, Inc's program

I Confirm