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FOWM 2020 Spring Season Sign-up
Sign-up for the Spring Season
January 30 to April 16
Thursdays 6:30-9pm -
Northampton Senior Center
Email address *
Name *
Your answer
WAIVER - I understand that participation in the above event or activity may include actions or tasks which might be hazardous to the participant named above or their musical instrument(s).By signing below, I assume any risk of harm or injury which might occur for any reason to the participant or instrument(s) due to and/or during his/her/my participation in FOWM.I release the FIDDLE ORCHESTRA OF WESTERN MASSACHUSETTS (FOWM) and its members, including volunteers, directors (David Kaynor, Annika Amstutz), volunteer coordinator and treasurer (Rebecca Shannon); the SENIOR CENTER OF NORTHAMPTON; and the CITY OF NORTHAMPTON; and/or any other facility or location of FOWM activity from all liability, costs and damages which might arise from participation in FOWM.If the participant is a minor, I agree that the minor has my consent to participate in the event. I further provide my consent for FOWM to seek emergency treatment for the minor if necessary. I agree to accept financial responsibility for the costs related to this emergency treatment. *
FOWM may include me in photos of the group on the website *
FOWM may include my name in the membership list on the website *
Instrument
Your answer
Approximate Level
Your answer
PAYMENT — Received by January 9 = $85 / after that date = $115 *
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