Voice Lessons Registration
Please fill out the form below to register for voice lessons at BMCA with Ms. Alison Adams will contact you about scheduling your lesson once you have registered. Thank you!
Sign in to Google to save your progress. Learn more
Email *
Student's first name *
Student's last name *
Student's Age *
Parent's name (if student is under 18)
Phone number (parent's if student is under 18) *
Street Address *
City *
State *
Zip *
Emergency contact *
Emergency contact phone number *
Do you/your child have any special needs we should know about? *
By submitting this electronic form I understand that participating in any class or workshop poses a possibility for physical injury.  I voluntarily agree, therefore, to assume all risk and responsibility for any such injury which may occur to me or my child at The Black Mountain Center for the Arts (BMCA).  I voluntarily waive my right to hold BMCA liable for any such damage, loss or injury. I also acknowledge that there is a chance that I or my child could potentially be exposed to an illness including Covid-19. I agree to adhere to BMCA’s safety protocols and I understand that participation in programs hosted by BMCA are at my own risk.  I authorize medical treatment which might be necessary in the event of an emergency. I understand that me or my child may be recorded or photographed for the purposes of promotion and the images may be displayed in print or on social media. I have read, understand, and agree to be bound by the above terms. Please enter your name below as your signature: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Black Mountain Center for the Arts.

Does this form look suspicious? Report

Google Forms