Aditional Emergency Contact (optional)
MusicMates™ works diligently to create programming tailored to the individual needs of each participant. Please help us get to know the participant!
I, the under signed do hereby consent to the participation of
I acknowledge that participation in this group may expose the above named participant to the possibility of injury. I grant MusicMates staff the authority to obtain emergency medical treatment as necessary to insure that the above named participant is safe from further injury.
In consideration of MusicMates allowing my child to participate in its social music programming, I agree to waive and release MusicMates from all claims for damages that may arise, other than by negligence of MusicMates' employees and agents, as a result of my child’s participation in MusicMates programming.
I have read and consent to all parts of the above waiver
I am aware that the above named participant may appear in a photograph, or video, taken by MusicMates staff or local media and that photograph or video may appear in a variety of media sources on behalf of MusicMates. Please select from below:
Pictures on Facebook Site/Website/Social Media: MusicMates is active in social media! These are great ways to keep up to date on MusicMates events and programs. By selecting ‘yes’, you agree to allow MusicMates to use your child’s picture on social media including, but not limited to, Facebook, Twitter, Tumbler, Pinterest and our website.
Newspaper/Media/PowerPoint Presentation: It is possible that your child’s picture may be selected to appear in newspaper articles or other visual media. MusicMates continually works to raise funds to supplement our programs in order to maintain low registration costs for our participants. Speaking engagements often require the use of a PowerPoint presentation.
Video: MusicMates enjoys making videos to share with your child’s friends and family. We also like to show the community what we do at MusicMates! Please select any of the following venues you would allow your participant to be recorded and shared in:
MusicMates Class Email List
I acknowledge and confirm that I have read this entire document