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Student (Participant) Registration Form

Student Name

First Name

Last Name

Instrument

School Name

Grade:

Band Director

First Name

Last Name

Band Director Email (if available)

Performance Type

Solo

Ensemble

Both

For solo performances, do you need accompaniment?

Yes

For ensemble, what is name of the ensemble or leader:

Number of Performers in Ensemble

Contact Information

To be completed by the parent of each participating student. I hereby certify that I am the adult parent or guardian of the above-named minor child(ren) under the age of eighteen years, and I consent to his/her participation in recreational activities at Trumpets 4 Kids Trumpet Wars. I agree, personally and on behalf of the minor child named above, to assume all the risks and responsibilities surrounding my minor child’s participation. To the fullest extent allowed by law, I hold harmless and agree to indemnify Trumpets 4 Kids, its officers, directors, faculty, staff, volunteers, employees and agents, from and against any present or future claim, cause of action, loss or liability for injury to person or property, which said minor child may suffer or for which said minor child may be liable to any other person, related to said minor child’s participation in the Trumpet Wars, resulting from any cause whatsoever, and regardless of fault.

Parent's Name:

First Name

Last Name

Parent's Phone Number:

(###)

###

####

Parent's Email:

Student's Email:

Student's Phone Number:

(###)

###

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Signature

By typing your name here, you consent to all of the above