California Association of Professional Music Teachers SDSC- Parent Consent Waiver
This is the Media Waiver, Consent& Release Agreement, and COPPA Parental Permission Form for participants aged younger than 18 years .

By checking each box, you acknowledge that you have read and agree to that Term and Condition. By checking each box and signing below, you acknowledge you are the parent or legal guardian of the child participant indicated below ("Minor").
Email address *
Media Waiver *
Required
Consent & Release Agreement *
Required
Children's Online Privacy Protection Act (COPPA) Parental Permission Form *
Required
I duly authorize my Minor to fully participate in a 2019-2020 CAPMT Event. I understand that I, the legal guardian of the Minor indicated below, will provide the Minor’s necessary information in order to participate in a 2019-2020 CAPMT Event. I consent to this practice. I understand that I may withdraw my permission granted herein, as set forth in CAPMT Privacy Policy. I also understand that it is important to provide accurate information in this consent form in case CAPMT needs to contact me for any reason. *
Required
CAPMT San Diego South Chapter
Specific Student Information
Teacher Name *
Your answer
Student/Applicant Name *
Your answer
Parent/Legal Guardian Name *
Your answer
Relation to Student/Applicant *
Your answer
Parent's/Legal Guardian's Initials *
Your answer
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.