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 Battle Creek Manor Beacon Hill Brook Haven Byron Center - Meadows Byron Center Manor Christian Care Senior Community Christian Rest Home Clark at Keller Lake Clark Retirement Community Crystal Springs Elly Manor Emerald Meadows Family Life Center Fountainview Lowell FoutainView Fremont Fremont Transitional Health Services Georgetown & Cambridge - Manor Grand Rapids Home for Veterans Green Acres Haven Park Christian Heartland Crestview Heritage Nursing Heron Woods Holland Home - Breton Manor Holland Home - Fulton Manor Holland Home - Raybrook Lakewood Nursing Laurels of Hudsonville Laurels of Sandy Creek Laurels of Sandy Creek Leonard Terrace Magnum Care Meadowlark Metro Health Metron of Belding Metron of Cedar Springs Metron of Forest Hills Metron of Lamont Mt. Mercy Senior Housing Newaygo Medical Northview Manor Oakridge Retirement Providence Healthcare and Rehabilition Railside Ransom Tower 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 Sparta Senior Center Spectrum Health - Kalamazoo Campus Spectrum Health -Fuller Campus SpectrumHealthNRSR-Worth Tendercare Kalamzoo Tendercare of Holland Tendercare Wyoming The Woods @ Maple Creek The Lodge at Maple Creek The Terraces @ Maple Creek United Methodist Comm Ctr Waldon Woods Whispering Woods Woodlawn Meadows 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 Amos John and Amy (Life of the Party) Apple Counrty Dulcimers Bartinich George Barton Michael Bauer Louise Bentley, Alice Bergman Dale & Friend Beverslis Natalie Briggs Kim Bronson Carol Brooks Lucy Bryson Daniel Bucholtz Needra Carmicheal Paul Chalk Art - Oudmen Jim & Sharon Charles Rob Choralettes Cooley Dorothy Corvine Wallie Cotter Tom Crossroad Counrty Band Cyrus Luke De Vries Jean Dean Mary DeRuiter Marc DeWitt Hugh Drieborg Bob Duncan Dan Durst Stephan Dutch River Oldtime Band Eckhart Sam Elly Charles Emerick Matthew Erb Lisa Evers Joan Fisk Steve Flint Jackie Folkert Carol Freewind Tim Gariepy Dan Gods Helping Hands Graham Dana & Emily Grateful Hearts Hessler Doris Hill Robert Howe James Johara Dancers Jones Lynette Just Strumin Kaniff Mark Kelly Joe Kentwood Senior Corrale Kinsman David Kitchen Band Knapp Shari & Wyatt Knotts Patrick Kooistra Dianne Kurtz Leonard Long Gladys Lueder Irv Luttrell Marvin Lyons Ashley Maciek's Magic Show Matthews Brenda Mc Kinley Gail McCourry Gary Memory Lane Players Michigan Strings Middleton Jackie Miller Marty Molinari David Moran Mark Mother Singers Murray Eric Musical Memories Trio Negn Gordan Noon Randy O Neil, Dave Paige Dennis Parker Farber Debbie Paul Danny Poole Mike Prohaska Dick & Helen Pryor Diane Quint Essential Bones Quist Wilma The Hat Lady Raabe Jean Raber Amber Rhonda & Counrty Rhythm Section Jazz Band River Valley Strings Rochelle Richman Saini Emmanuel Sallie Mona Sam Eckhart and David Gomez Sasso Paul Scheid, Art Senior Steppers Sentimental Journey Shanley Barb Silverwood Singing Dominiee's Singing Strings Slice of Life Sloan Christopher Sooy Elizabeth Spoon Man Stouffer Randy Strong Brian Sytsma Diane Teft Lori Thebo Lori Thurtell Steve Tietema Sandy Timeless Entertainment Troyor Steve Truax Hannah Van Wingerden Jim Vander Boon Sharon Vruggink Gary Walker, Ami Weber PJ Weymouth Skip - "Musical Memories" Wheeler Lynn Williams Terry Zuverink Hank & Marge Zwyghuizen Doug Zyla Martin
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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.