Eastern University Preparatory School of Music Registration Form
Street Address, City, State, Zip
Please list the best number to contact you
What is your prior musical experience?
Are you interested in Private Lessons or Chamber Music Coaching?
Chamber Music Coaching
Private Lesson or Chamber Music length
How did you hear about the Eastern University Preparatory School?
Liability Statement: I hereby authorize the directors and medical staff of Eastern University to act for me according to their best judgment in any emergency requiring medical attention. I understand that the medical staff will render the first aid procedures, and students will be transported to Bryn Mawr Hospital if necessary. I hereby waive and release Eastern University Staff and Eastern University Preparatory School of Music for liabilities relation to injury, illness, or expenses incurred. I know of no mental or physical problems, which might affect my child's ability to safely participate in this camp. I will be responsible for any medical or any other charges in connection with his/her attendance at private lessons. I have read the rules and regulations of the Preparatory School and both the student and I agree to abide by them.
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