Your Full Name: *

Name Of Your School: *

Location of School (City & State): *

Your grade (for the 20/21 school year): *

Which topic(s) are you MOST interested in? *

JULY 15: Select a lesson to attend. *

JULY 22: Select a lesson to attend. *

JULY 29: Select a lesson to attend. *

AUGUST 5: Select a lesson to attend. *

What is your email address (the one you will check frequently over the summer)? *

Parent or guardian email address: *

Parent or guardian phone number: *

What is the best number to reach you (student) on? *

I give permission for MusicUnites to use my number in private SMS messaging as it relates to the MusicVersity Summer Series. *

Do you already follow @Music_Unites on Instagram? *

(Optional) Please list your Social Media handle(s) so we can follow you back:

MEDIA/PHOTO WAIVER: I hereby authorize and give my full consent to Music Unites to copyright and/or publish any and all photographs, videotapes and/or film in which I appear while attending this Music Unites 2020 MusicVersity event. I further agree that Music Unites may transfer, use or cause to be used, these photographs, videotapes, or films for any exhibitions, public displays, publications, commercials, art and advertising purposes, and television programs without limitations or reservations. *

FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless Music Unites from any and all liabilities incident to my minor child's involvement or participation in Music Unites' 2020 Virtual MusicVersity, EVEN IF ARISING FROM THEIR NEGLIGENCE. *