Registration Form and Release
Contact information and release certification for Hinesburg Artist Series performers.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Mailing Address
Email Address *
Home Telephone
Cell Phone
Voice Part or Instrument *
Volunteer help at performance time and "behind the scenes" is critical to our success.  May we contact you to discuss ways you might be able to help? *
Hinesburg Artist Series (HAS) rehearsals and performances may be recorded, photographed, and videoed.  As an HAS performer I acknowledge this and allow HAS to use my voice, instrumental performance, and/or image for promotional materials both online and otherwise, and for other uses deemed appropriate by the HAS Board of Directors, in perpetuity. *
Required
Donations to the Hinesburg Artist Series help to provide a stipend for our music director, pay our accompanist (chorus), purchase music, and cover other expenses.  Please support the music and joy HAS brings to each of us, as performers, and to our community.  You can donate online by clicking the Donate button on our website or by check, either mailed to HAS, PO Box 286, Hinesburg 05461 or handed in at a rehearsal.  Thank you.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.