* 1. Name of Afterschool Program

* 2. Name of School AND School District

* 3. Address of School

* 4. Name and DIRECT contact number of Program Director

* 5. E-mail address of Program Director

* 6. Name and contact number for school principal

* 7. E-mail address of School Principal

* 8. How is your program funded? Click all the apply.

* 9. What grade level are the students participating in the creation of your song?

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