Columbia TN Music Classes
This is to sign up for Pastor Bob's Home School Music Classes which will be offered in Columbia TN beginning, Wednesday September 7th 2016
Parent Last Name
Parent First Name
Cell Phone Number
Classes interested in Check all that apply
Music Class 1
Music Class 2
Music Class 3
Questions for Pastor Bob
Disclaimer: Participants will be taking part in the Home School Music class presented by Pastor Bob Gerstenberger to be held at in Building Block School of Arts in Columbia, TN. This program will begin on September 7, 2016 and will end May 31, 2017. Participant agrees to indemnify, hold harmless and defend the Building Block School of the Arts and Pastor Bob Gerstenberger (its officers, employees, agents, representatives, volunteers and assigns) against any and all claims, costs (including reasonable attorney’s fees), demands, causes of action, suits, injuries, damages of any kind whatsoever, loss or death resulting from User’s negligence, misconduct, malicious actions, or omissions I understand that public relations is an important part of Building Blocks School of the Arts and Pastor Bob Gerstenberger. On behalf of myself, my heirs, personal representatives, and executors, I allow Building Block School of the Arts and Pastor Bob Gerstenberger to use any photographs taken of me for use in public relations efforts. Also, all photographs that I submit to Building Block School of the Arts and Pastor Bob Gerstenberger will remain the property of the photographer. Building Block School of the Arts and Pastor Bob Gerstenberger will have the rights to use these photographs for marketing materials or in any other ways that Building Block School of the Arts and Pastor Bob Gerstenberger sees fit, including but not limited to social media, newspapers, and power point presentations.
I agree to the disclaimer and understand that this check is my signature
A copy of your responses will be emailed to the address you provided.
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