Group Music Class Registration Form
Join us for a group musical exploration experience!

Bring your group of students, families, staff or friends and experiment with various instruments, play fun songs and be supported by experienced musicians and instructors that will ensure you have a great time while learning various musical skills in a safe and creative team building environment.

Costs and times vary by group size and workshop length and will be finalized with a MEPAA staff member upon receipt of this registration form along with payment and any other details needed to host your group.

Maximum of 12 participants per workshop for onsite classes, larger classes and workshops require location scheduling and need more lead time to confirm and may require additional costs.

MEPAA Music & Arts Center
2370 Parliament Street
Eugene, OR 97405
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Email *
Name of Group Contact Person *
Number of Group Participants (estimate is OK) *
Age Range of Group Participants *
Best Contact Phone Number *
Mailing Address *
Any allergies or medical conditions in the group? *
Musical Experience? (Not required, just curious!) *
Any specific songs or musical activities/instruments your group is specifically interested in exploring? *
Any other circumstances you would like us to be aware of? *
Any days or times that work best for your group class? (Times can be limited, but let us know your top choices and we will do our best.) *
How did you hear about MEPAA? *
Demographics
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 members of the group? *
Required
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. *
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