REW Homeschool Band & Orchestra Enrollment
Sign in to Google to save your progress. Learn more
Student Last Name *
Student First Name *
CLASS: Select all classes enrolling in for this student *
Required
INSTRUMENT: Select ALL instruments this student will play *
Required
Instrument Brand *
Instrument Model *
Instrument Serial Number *
Student Date of Birth *
MM
/
DD
/
YYYY
Student Age *
Years Played Instrument *
Parents' First Names (ex. Jane & John) *
Parents' Last Name(s) *
Home Phone *
Parent Cell Phone *
Street Address *
City *
State *
Zip Code *
County *
Notes:
Email *
I understand that by signing up for a class or event at REW Music, I am granting permission for REW Music and their agents to use pictures, digital images, or videos of my student/self in any REW Music publication, store website, or other online site: (please enter your name as a digital signature) *
REW MUSIC HEALTH LIABILITY WAIVER - REW Music has put in place preventative measures to reduce the spread of communicable illness in accordance with national public health guidelines; however, REW Music cannot guarantee those who enter the premises will not become infected with a communicable illness. • By signing this agreement, on behalf of my children, parents, spouse and myself, I release and hold harmless REW Music and its agents from any and all liability for contracting any illness by attending in-person lessons or events hosted by REW Music. • I voluntarily agree to assume all risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at REW Music or participation in any activities associated with REW Music. • I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of REW Music, its teachers, owners, agents, or representatives, whether an infection or illness occurs before, during, or after participation in any program.  This release and waiver will remain valid until such time as I revoke one and/or the other in writing.  (please enter your name as a digital signature) *
CODE OF CONDUCT - REW Music Homeschool Groups are Christian based groups. We will play a variety of music, some of which may be religious. 1. We expect students to act in a respectful and honorable manner. 2. The director reserves the right to deny students participation in a rehearsal or performance due to inappropriate behavior. 3. Foul language or unwholesome talk, roughhousing, disruptive behavior, physical display of affection (PDA), disrespect for authority and/or REW Music property,and all other inappropriate behavior as deemed by the director are all grounds for disciplinary action. 4. REW Music reserves the right to remove a student from the program for disciplinary reasons. No refunds will be given. I have received a copy of the REW Music Home School music group policies and I have read, understood, and agree to the terms outlined therein. (please enter your name as a digital signature) *
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.