Birthday Party Registration Form
MEPAA is so happy to celebrate your special day and look forward to making it an artistic and rock star experience for you and your family!

Food and drinks are only allowed in the Kitchen area of the building and not in the art or music rooms.

10 party guests are included in the Birthday Packages, maximum of 15 allowed and any extra guests need to be approved by a staff member with an additional cost of $10 per guest.  

All parties are a maximum of two hours and include structured art and music time, cake and eating time and short free time.

Birthday Party Packages:
-MuseArt Party Package ($150)
Basic art supplies provided, use of the MuseArt Room and choice of inspirational background music.

-Karaoke & Art Party Package ($175)
-Same as above, but includes use of monitors and PA system for Karaoke fun with time for art and karaoke split between activities.

-Rock Star Party Package ($200)
Rock camp style birthday party with all instruments and instruction provided.  Song suggestions welcomed but need to be approved for appropriate content and ability to teach by music mentors.


Please complete the form and a staff member will be in touch to confirm your date and process your payment details.  Payment is required to hold the date and if you need financial assistance or have any special requests that we should know about please discuss them with the MEPAA staff member upon confirmation of the party.
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Email *
Name of Birthday Rock Star *
Age of Birthday Rock Star *
Contact Name/Guardian Name *
Contact Mailing Address *
Contact Phone Number *
Size of Party Group (15 maximum, 10 included in Birthday Party Package, every guest over 10 requires additional $10)
Party Date Requested (Saturday & Sundays Only)
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Preferred Start Time for Birthday Party (All Birthday Parties are two hours maximum and start times will vary based on class and staff availability)
Time
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Type of Birthday Party Requested
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Any allergies or issues that we should be aware of for your group?
MEPAA Nondiscrimination Policy
MEPAA does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. We are committed to providing an inclusive and welcoming environment at our events and activities, and ask our volunteers to make the same commitment through their actions, language, and conduct when volunteering with the organization.
Photo/Video Release *
MEPAA classes and events may be filmed or have photos taken. By agreeing to this option you are authorizing us to use class photos or videos for organizational marketing purposes only. Names will not be included unless specifically requested.
MEPAA Music & Arts Center Liability Release and Hold Harmless Addendum (Communicable Diseases including COVID-19)  
 Communicable Diseases Including COVID-19: The novel coronavirus (“COVID-19”), has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. While rules, guidance, and personal discipline may reduce this risk, the risk of serious illness and death does exist. MEPAA Music & Arts Center (MAC) cannot completely mitigate the transfer of communicable diseases like COVID- 19.By selecting this box, I acknowledge that I understand there is some risk associated with using MAC facilities and assume said risk. Use of MAC facilities includes possible exposure to and illness, injury, or death from infectious diseases including COVID-19. I understand the hazards of COVID-19 and am familiar with the Centers for Disease Control Prevention (“CDC”) guidelines; and federal, state, and local orders regarding COVID-19. I acknowledge that I understand the circumstances regarding COVID-19 and will take all necessary precautions as provided by the CDC and federal, state, and local governments. Indemnification: In consideration for use of the MEPAA Music & Arts Center property, I agree to waive and discharge any and all claims against the MAC and release it from liability for any loss regardless of cause, including claims for any negligent actions of the MAC or its employees or agents and any and all claims, demands, lawsuits, judgments, losses, or expenses of any nature arising out of User’s failure to follow the CDC, federal, state, or local orders or guidance regarding COVID-19 and that leads to, directly or indirectly, the infection of COVID-19 or any other illness or injury related to COVID-19, to the fullest extent allowed by law. I also agree to release, exonerate, discharge and Hold Harmless the MAC, its Board of Directors, the individual members thereof, and all officers, agents, employees, volunteers, and representatives from all liability, claims, causes of action, or demands, including attorney fees, arising out of injuries of any kind to myself, my child, or to our property, or losses of any kind which may result from or in connection with the use of the MAC’s facility, up to and including injuries stemming from the negligent actions of the MAC or its employees or agents. I certify and represent that I have the legal authority to waive, discharge, release, and hold harmless the released parties on behalf of itself and its members, employees, agents, contractors, suppliers, or guests. *
Demographics - Optional
Many of our funders want to know information about WHO we serve.

Please share as much as you are comfortable and know that this information helps MEPAA provide access to the arts for more families.
Are any of the following items true for the birthday person and/or your group of attendees? *
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