Fill out the following form to request a Senior Sing A-Long performance from one of our many talented entertainers. You will be contacted to confirm date and time and any other details related to the event. Thank you and ENJOY!

Your Name
Title
Phone
Email
Facility	Adams Park Nursing Allen Manor Allendale Nursing Center Baily's Grove Beacon Hill Breton Village Green Brook Haven Brookcrest Byron Center - Meadows Byron Center Manor Carveth Village Chestnut Field Christian Care Senior Community Christian Rest Home Clark at Keller Lake Clark Retirement Community Covenant Village of the Great Lakes - Nursing Section Covenant Village of the Great Lakes Assisted Living Creekview Lodge Crystal Springs Elly Manor Emerald Meadows Fountainview Lowell FoutainView Freemont Freemont Transitional Health Services Georgetown & Cambridge - Manor Grand Rapids Home for Veterans Harvest Way - Sparta Senior Center Haven Park Christian Heartland Crestview Heritage Nursing Heron Woods Hillcrest Holland Home - Breton Manor Holland Home - Fulton Manor Holland Home - Raybrook Hume Home Laurels of Hudsonville Laurels of Kent Laurels of Sandy Creek Leonard Terrace Marywood Health Center Meadowlark Metro Health Metron of Belding Metron of Cedar Springs Metron of Forest Hills Metron of Lamont Mt. Mercy Senior Housing Newaygo Medical Northcrest Assisted Living Northview Manor Oakridge Retirement Pine Rest Assisted Living Providence Healthcare and Rehabilition Railside Ransom Tower Riverside Nursing Grand Haven Royal Atrium Inn Royal Parkplace of Zeeland Salvation Army Sanctuary at St Mary's Sanctuary At The Oakes Sanctuary at the Park Seldon Senior Housing Spectrum Health - Con't Care Spectrum Health - Kent Community St. Ann's Home Sunset Manor and Village Tender Care - Hastings Tendercare Kalamzoo Tendercare Westwood Tendercare Wyoming The Woods @ Maple Creek The Lodge at Maple Creek The Terraces @ Maple Creek Waldon Woods Whispering Woods Woodlawn Meadows Worth Residential Center Yorkshire & Stonebridge Manor
Desired Performance Date	1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008 2009
Desired Start Time	1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 AM PM
Desired End Time	1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 AM PM
Desired Performer or Group	No Preference Alice Bentley Ami Walker Art Scheid Arthur & Joy Bartlett Ashley & Glen Denig Ashley Lyons Barb Nicholson Bob Brock & Kathy Laurie Bob Drieborg Brenda Matthews Burton Elementary Honor Choir Carol Bronson Carol Folkert Charles Elly Choralettes Corn Brothers Crossroad Counrty Band Cyrus Luke Dale Bergman & Friend Dan Bowen Dan Duncan Dana & Emily Graham Dave O Niel David Molinari Debbie Parker DeRuiter Marc Diane Pryor Diane Sytsma Dianne Kooistra Dick Prohaska Doris Hessler Dorothy Cooley Dutch River Oldtime Band Elisabeth Sooy Emmanuel Saini Eric Murray Gail Mc Kinley Gary Vruggink George Bartinich Gladys Long Gods Helping Hands Grace Francisco Hank & Marge Zuverink Hannah Truax Hugh DeWitt Huizinga Jim Irv Lueder Jackie Middleton James Haverson James Howe Jean De Vries Jean Raabe Jerry Allred Jim Galligan Jim or Sharon Oudmen- "Chalk Art" Jim Ritzema Joan Evers Johara Dancers Just Strumin Just Us Kentwood Senior Corrale Kevin Cavanaugh Kevin Murphy Kitchen Band Lenhart Beverly Leonard Kurtz Life of the Party Lisa Erb Lori Teft Lori Thebo Louise Bauer Lucy Brooks Lynette Jones Lynn Wheeler Maciek's Magic Show Mark Moran Martin Zyla Marv Luttell Mary Dean Memory Lane Players Michael Barton Michigan Strings Mike Kaufman Mike Poole Mona Sallie Mother Singers Musical Memories Trio Natalie Beverslis Needra Bucholtz Patricia Burmer Paul Carmicheal Paul Sasso PJ. Weber quint essential bones Rhonda & Counrty River Valley Strings Rob Charles Robert Hill Rochelle Richman Rythme Section Jazz Band Sam Eckhart and David Gomez Sandy Tietema Senior Steppers Sentimental Journey Shanley Barb Shari Manshaem Sharon Vander Boon Silverwood Singing Dominiee's Singing Strings Skip Weymouth - "Musical Memories" Slice of Life Sloan Chris Spot Lite Caroake Steve Fisk Swanson Family Tara Brooks Terry Williams The Partners Tim Freewind Tom Cotter Tom DeBoer Troyor Steve Wallie Corvine Walt Grygiel Wilma Quist
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If you are a QUALIFYING facility but you are not listed above, please contact us directly at 616-538-8590. If you are NOT a qualified facility, please fill out a facility request for review and consideration.