You may enroll for multiple activities on one form. Additional people need a separate form.
To connect with a C4A music instructor or get more information about our programming, send an email to firstname.lastname@example.org
If you have questions about our ensembles please contact us at email@example.com or visit our website http://c-4a.org/ for more information.
If you don't see what you're looking for it may be listed under "Group Lessons" below.
If you have questions about our group lessons please contact us at firstname.lastname@example.org or visit our website for more information.
If you don't see what you're looking for it may be listed under "Ensembles" above.
If I am registering for individual lessons, I understand that payments for lessons are due when invoiced, or may be paid in advance. I understand that if my account is more than 30 days past due there may be an interruption in my program until payment is made or a payment plan is established. I understand that lessons cancelled by me with less than 48 hours notice are unexcused absences and may be billed at the regular lesson rate.
Please read and understand the Consent and Acknowledgement and Medical Release and Authorization below and then sign in the Confirmation Area below before submitting this form.
In case of injury to said student, I hereby waive all claims against the Community Center for the Arts including all instructors, staff, and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.
Photographs and videos taken during our activities may be used for our promotional purposes without your further consent. We will not publish or release images that are inappropriate or identify students by name or otherwise reveal their identities.
Students' names may be listed in programs, on CDs or DVDs, or other media. They will not be listed in a way that identifies individuals. Said media will be available to the student and his/her family.
Most activities will take place on C4A premises, but there may be off-site activities that are announced in advance.
Students, their families, and their guests are all responsible for their own safety during participation in our events, whether on or off our premises.
Students, their families, and their guests are all responsible for their own belongings and equipment during participation in our events, whether on or off our premises.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named student. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to the Community Center for the Arts and its affiliates including Directors, teachers, staff, and volunteers to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
*If an adult student, the same release and authorizations apply, with contact attempt being made with designee listed under emergency contacts.