rising voices alan madden foundation

Dear Rising Voices Applicant:

We are very excited that you are interested in participating in the Rising Voices program. This program is offered by the Alan Madden Foundation, a non-profit organization that is dedicated to helping youth in the foster care system. Through our partnership with Guitar Center, you will receive a musical instrument of your choosing from the attached list of approved instruments, and you will also receive free weekly lessons from the professional instructors at your local participating Guitar Center. We are very proud of the Rising Voices program because of the many benefits of learning to play a musical instrument. Studies clearly show that learning to play an instrument improves your math and reading skills, teaches you responsibility and perseverance, improves your listening skills and coordination, and gives you the opportunity to have fun and make new friends. To be eligible to participate in the Rising Voices program, you must either be currently placed in foster care, have previously been in foster care for at least six (6) months, or be a biological child of the foster family of a foster child that is also participating in the Rising Voices program. You will be required to provide proof of your eligibility before being accepted in the Rising Voices program. Once we verify your eligibility, we will notify you of your acceptance and you will then need to schedule an orientation meeting at your local participating Guitar Center to receive your instrument and schedule your lessons. In order to make the most of your experiences in the Rising Voices program, we recommend that you attend all of your scheduled lessons, be prepared for your lessons by practicing your instrument as directed by your instructor, take good care of your instrument, participate in your music recitals, and above all, have fun and make new friends. If you successfully complete six (6) months in the Rising Voices program, by attending your scheduled lessons and recital(s), you will be permitted to keep your instrument. Please carefully read and complete the included STUDENT REGISTRATION form. If you have any questions or require assistance, please contact Victoria Sirmon-Herrin, at (352) 470-4517. Truly yours,

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Victoria Sirmon-Herrin President Alan Madden Foundation

Personal Information

Student Name DOB

Current Address City State Zip Code

Telephone Number Email Address

Gender Ethnicity

Male White Black/African American

Female Hispanic American Indian/Alaska Native

Other Asian Native Hawaiian

Other

Foster Home Foster Parent’s Name Telephone Number

Foster Care Status Foster Care Agency

Relative Foster Home Extended Foster Home Agency Name

Non-Relative Foster Home Independent Living Agency Telephone #

Group Home Aged out of foster care Case Worker Name

Relative Foster Home Extended Foster Home Case Worker Tel. #

How long in foster care?

Musical Instrument Selection. Please select your preferred instrument from the attached Approved Instrument List.

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CONDITIONS

COMMITMENT. Students are expected to:

✓ Practice your instrument as directed by your instructor.

✓ Have no more than three (3) unexcused absences.

✓ Attend class with a desire to learn.

✓ Maintain your loaned musical instrument in good condition.

✓ Participate in recitals as arranged by the Alan Madden Foundation and/or Guitar Center.

✓ Attend school regularly and be a student in good standing.

STUDENT REGISTRATION

ATTENDANCE. Due to the limited funding available for this program, good attendance is expected. If a student is unable to make

a scheduled lesson, they must contact their instructor at least twenty-four hours in advance so that there will be no charge for the

missed lesson and so it can be rescheduled, if possible. Failure to properly notify their instructor in advance is considered an unexcused

absence. If a student accumulates three (3) unexcused absences, their participation in the Rising Voices program may be discontinued.

DISCONTINUATION. The Alan Madden Foundation, the Rising Voices program and/or Guitar Center reserves the right to

discontinue a student’s participation in this program due to poor attendance, lack of interest, disruptive behavior, lack of funding or

for any other reason. A student whose participation has been discontinued may be required to return their instrument and may not

re-apply for the program for a period of up to twelve (12) months.

PHOTOGRAPHIC AND AUDIO/VIDEO RELEASE. (1) I, individually and on behalf of Minor Participant(s) do hereby grant the

released Alan Madden Foundation Inc., Rising Voices, and Guitar Center, Inc., the irrevocable right and permission to photograph or

otherwise record (Photograph) me or minor participant for all purposes, including advertising and promotional purposes related to

the Rising Voices program in any manner, in any and all media now or herein after known in perpetuity throughout the world, without

restriction as to alteration. I waive any right to inspect or approve the use of the Photographs and acknowledge and agree that the

rights granted by this Photo Release are without compensation of any kind. (2) I acknowledge and agree that I have no right, title or

interest in the Photographs and agree that such Photographs and the copyright therein are the exclusive property of the Released

Parties. I agree to release and discharge the Released Parties from any claims, actions, damages, demands, costs, expenses including

attorney’s fees or lawsuits of any kind by reason of the sale, distribution or use of such Photographs.

NOTICE OF NON-DISCRIMINATION. The Rising Voices programs and services reflect the cultural diversity of our community. We do

not discriminate on the basis of religion, race, color, ethnicity, sex, gender identity / expression, national origin, sexual orientation,

age, disability, veteran status, or other status protected by applicable law.

DAMAGE TO INSTRUMENTS. You are expected to maintain your loaned musical instrument in good condition. Your loaned instrument

will not be replaced if you fail to immediately notify the Alan Madden Foundation or your instructor of any damage.

By signing this agreement, you agree to the terms and conditions of your participation in the Rising Voices program.

Student’s Signature (if 18 or older) Print Name Date

Foster Parent’s Signature (if under 18) Print Name Date

This completed Student Registration form must be returned to:

The Alan Madden Foundation Email: [email protected] Fax: (352) 240-1244 Mail: 3978 SE 99th Lane Belleview, FL 34420

Please contact us at (352) 470-4517 should you have any questions or require any additional assistance.

mailto:[email protected]

APPROVED INSTRUMENT LIST All items listed are subject to availability. Guitar Center reserves the right to substitute items with equivalent products.

The Mitchell MU40C Concert Ukulele provides all the fun of their MU40, now in a larger "concert"-sized

body for a bigger sound and excellent projection. The MU40C is designed around a bound lindenwood

body for bright, snappy tone and a natural finish for outstanding looks. The bound fingerboard offers

comfortable, easy playability for players of any skill level. Features include classic, open-key tuning

machines. Combo also includes Gator Concert Ukulele Gig Bag, On-Stage 3-Pack Felt Ukulele Picks, and

2-year Pro Coverage Plan.

MITCHELL MU40C CONCERT UKULELE COMBO

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MITCHELL MB200 MODERN ROCK BASS COMBO

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The Mitchell MB200 bass features a slick basswood body and a modern-profile neck shape that is deal for

multi-genre players. The Deep Bevel Cutaway provides outstanding playing freedom across the entire

fretboard. Split-single and single-coil ceramic pickups cover an array of musical genres, while a 2-band active

EQ offers more tonal control for any style of music. Premium black nickel Y-type die cast tuners and a high-

mass bridge adds to its robust tone and sustain. The Acoustic B25C Bass Amp features a 25-watt power

section that provides more than enough volume for practicing at home or jamming with family and

friends. Combo includes Musician's Gear Bass Guitar Gig Bag, Fender Performance Series Right-Angle

Instrument Cable, Ernie Ball 2” Black Strap, and Dunlop Tortex Standard Guitar Picks.

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Mitchell D120PK Acoustic Guitar Pack


Get your playing off to a great start with the Mitchell D120PK. It features Mitchell's improved D120 full-

size dreadnought guitar with an Engelmann spruce top and mahogany back and sides for a full, rich tone.

The lighter finish and scalloped bracing provide increased volume and projection. High-value upgrades

like real abalone rosette, bound neck and body and die-cast tuners add to the look and feel of this quality

instrument. Completing the package, the D120PK also comes with a gig bag, strap, clip-on guitar tuner,

instructional DVD, guitar picks and extra strings so you'll have everything you need to get started playing

today, and keep you playing for years to come.

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Mitchell MD200 Electric Guitar Standard Pack


The affordable Mitchell MD200 offers a double cutaway basswood body and a one-piece maple neck

with rosewood fretboard. For a modern sound, there's a rail-style ceramic humbucker in the bridge and

mini-rail humbucker in the neck position. They both provide a more consistent magnetic pull versus

standard pole pieces, enhancing overall tone and sustain. High-ratio tuners allows for precise tuning

control. The MD200 also includes a flatter neck radius, which allows for easier fretboard gymnastics. For

even more sustain and articulation, the MD200 comes with string-through body construction.

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Sound Percussion Labs D4522 Unity 5-Piece Drum Set


Simmons SD350 Electronic Drum Kit with Mesh Pads


The Sound Percussion Labs D4522 Unity 5-Piece Drum Set is a good choice for beginners and pros alike

who are looking for great tone, easy setup and knockdowns, and at a reasonable price. The Unity D4522

features multi-ply shells, precision 45-degree bearing edges, low-mass lugs and is built to last - in your

home studio or out on the town. Includes double-braced stands, chain drive pedal, cymbals and throne.

Whether you are a seasoned pro who needs a gigging drum set, or just beginning your musical journey,

the D4522 Unity drum set includes everything you need to start playing.

The Simmons SD350 provides a bigger-than-expected drum sound with a less-than-expected price. This

full-size, 5-piece mesh-head electronic drum kit is the ideal, convenient setup for rehearsals, practice

and recording. And the tension-able mesh heads capture more nuanced playing than any kit in its class.

The sound module features 10 drum kits, 179 custom sounds and 10 songs. The 8 in. mesh heads offer

real drum feel, while the quick assembly design allows for fast and easy setups and tear-downs. With

simple navigation and preset multi-pin cabling, it’s perfect for first-time drummers, or anyone needing

a full-size drumming experience on a limited budget.

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Williams Legato Plus Digital Piano Beginner Pack


The Williams Legato Plus is a full-size digital piano with 88 semi-weighted keys, 5 great sounds

(piano, electric piano, organ, synth, and bass) and built-in speakers. It also features split/layer

function (to combine sounds) and a built-in metronome. It’s the most accessible and affordable 88-

key digital piano ever. The Beginner Package includes a stand, bench, interactive teaching system

and a pair of stereo headphones.

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Bellafina Rainbow Series Violin Outfits


The Bellafina Rainbow violin kit features a fine instrument with a special finish, a case and a bow. The

violin itself features a solid spruce top, solid maple back and sides, and a solid maple neck with a beautiful

oiled finish. The fingerboard and fittings are ebonized hard wood. There is a composite tailpiece with 4

fine tuners, and a Stradivarius-style chin rest. The aged maple bridge is a beautiful touch. It comes in

three finishes, black, blue or rose.

A world without music A world without hope

rising voices alan madden foundation

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