First Name *

Last Name *

Phone *

Email *

1. Student & Parent information

Welcome to the Opt in Living Voice Studio!

Please complete the form below so I have everything I need to support your child in class and keep our records consistent. This information helps me communicate with you, ensure your child’s safety, and celebrate their progress throughout the year.

Your information is kept private and used only for studio purposes.

Student Last Name *

Student First Name *

Student Date of Birth *

Grade in School *

Any allergies, medical concerns, or accessibility needs? *

Are there any vocal health issues I should know about. Ie. Past nodules, polyps, surgery? *

What is your biggest vocal goal? *

Parent Guardian Name(s) *

Relationship to Student (Mom/Dad/Grandparent/Other) *

Email Address (primary for communication) *

Parent/Guardian Phone # *

I would like to communicate via text *

Yes

Mailing Address *

Other: (specify here)

Referred by a friend? Type in the email they used to sign up

2. Studio Policies

Thank you for choosing the Opt-In Living Voice Studio. I am honored to support your child’s musical journey! To ensure a smooth and joyful experience, please review the following policies.

🎶 Enrollment & Tuition

Tuition is billed monthly via automatic draft.

Your first tuition payment will be drafted immediately upon enrollment and will cover your child’s first month of participation.

After the first month, tuition drafts automatically on the 1st of each month to reserve your child’s spot.

Enrollment is ongoing, and your child’s spot remains reserved until you provide 30 days’ written notice of withdrawal.

Tuition is non-refundable, and missed classes are not credited.

🗓 Class Rhythm

Classes generally follow the rhythm of the Caddo Parish School Calendar, with breaks around major holidays.

Families can always find the most current schedule in their classes' designated space in Circle

👩‍🎤 Attendance

Consistent attendance helps your child grow in confidence and skill.

If your child must miss class due to illness or emergency, please notify the studio as soon as possible, email: VoiceStudio@OptinLiving.com or text 812 - 727-0388

Missed classes are not refunded or credited.

🎒 What to Bring

Broadway Belter's Studio Class (Grades 3–5): Students should bring a folder or binder for music/worksheets, a pencil, and a water bottle and wear clothes they are comfortable moving in.

🎼 Practice Expectations

Students are encouraged to practice at home a few times each week to reinforce skills from class. Practice does not need to be long, consistency and curiosity matter more than minutes on a clock.

🎤 Student Commitment

Students are expected to participate respectfully, listen to others, and support a positive group environment.

Participation in the class recital piece is expected. Students are also welcome to grow into solo opportunities as their confidence and skills develop.

Students are invited (but never required) to participate in additional opportunities such as NATS.

📸 Photo & Video Release

The studio regularly records classes for educational and promotional purposes.

All families must complete the Photo & Video Release Form to indicate their permission preferences.

⚖️ Liability Form

All students must have a signed Liability Waiver on file before participating in classes.

🚦 Dismissal Policy

Students may be dismissed from the program for:

Failure to pay tuition on time

Persistent absences

Disruptive or unsafe behavior

✨ Thank you for partnering with me to create a safe, supportive, and inspiring space for your child to grow as a singer!

I agree to studio policy *

I have read and agree to the terms above

I agree to studio policy *

Parent/Guardian Name
Date

3. Photo and Video Release

Pictures and videos of students may be posted on the studio website, Instagram, Facebook Page, or included in studio publications with or without a first name attached as per parent request.

Please select your choice below.

Students who do not have the photo and video release on file will not be featured in studio publications or publicity in any form.

Photo and Video Release Options *

I herby give Opt-in Living Voice Studio permission to use photos and/or videos of my child along with their First Name in studio publications and publicity on the website and/or social media and/or pring media.

I herby give Opt-in Living Voice Studio permission to use photo and/or videos of my child WITHOUT their first name attached in studio publications and publicity on both the website and/or social media and/or print media

I DO NOT give Opt-in Living Voice Studio permission to use photo and/or videos of my child in studio publications and publicity. I also recognize that Opt-in Living Voice Studio is not responsible for photos or videos taken by other parents or students at Opt-in Living Voice Studio events such as recitals and will not hold Opt-in Living Voice Studios responsible should parents or students post said photos and/or videos to their personal social media accounts.

I understand the photo and video release *

Parent/Guardian Name
Date

4. Tuition & Auto-Draft Agreement - Broadway Belters

I understand that tuition for my child’s enrollment in the Broadway Belter's Studio Class is billed monthly via automatic draft.

I understand that my first tuition payment will be drafted immediately upon enrollment and will cover my child’s first month of participation.

I understand that after the first month, tuition will draft automatically on the 1st of each month to reserve my child’s spot in the program.

I understand that enrollment is ongoing, and my child’s spot is reserved until I provide 30 days’ written notice of withdrawal.

I understand that tuition is non-refundable, and that missed classes will not be credited.

I understand to Tuition & Auto-Draft Agreement *

I have read and agree to the terms above

I agree to Tuition & Auto-Draft Agreement *

Parent/Guardian Name
Date

5. Liability Release and Assumption of Risk

I, the undersigned parent/guardian, understand that participation in singing, movement, and performance activities at Opt-In Living Voice Studio involves inherent risks. These may include, but are not limited to, minor vocal fatigue, slips or falls, or other unforeseen incidents.

By enrolling my child, I agree to the following:

I understand that Opt-In Living Voice Studio and Liesl Cruz will take all reasonable precautions to ensure a safe learning environment.

I release and hold harmless Opt-In Living Voice Studio and Liesl Cruz from liability for any injury, illness, or accident that may occur during classes, rehearsals, or performances, except in cases of gross negligence.

I agree to notify the studio of any medical conditions, allergies, or accessibility needs that may affect my child’s participation.

I accept full financial responsibility for any medical treatment needed in the event of an accident or emergency.

I authorize the studio to seek emergency medical care if necessary and if I cannot be reached.

I Understand the Liability Release and Assumption of Risk *

Parent/Guardian Name
Student's Name
Date

Electronic Signature *

Clear