STEP ONE: COMPLETE REGISTRATION FORM

Student Name *
Student Name
Which days/times work best for your student? (Lessons & Ensembles Only)
Full Name of Parent / Guardian (1) *
Full Name of Parent / Guardian (1)
Full Name of Parent / Guardian (2)
Full Name of Parent / Guardian (2)
Home Mailing Address *
Home Mailing Address
Primary Phone *
Primary Phone
Secondary Phone *
Secondary Phone
Work Phone
Work Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Music/Photo/Video Release *
I hereby release the use of music, photographic and video images and work product of the above participant for the purpose of promotion and display to the general public.
MAMM Policies *
I, the parent or legal guardian of the above named child, have read the MAMM policies with my child (participant). Both I and my child (participant) understand and agree to these policies.

 

STEP TWO: PAY REGISTRATION FEE