Registration Form Group Guitar - Grosso Music & Fine Arts

Parent Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Preferred Contact Method *

Text
Call
Email

Child Name *

First

Last

Grade *

Child Name 2

First

Last

Child 2 Grade

Additional Children being registered (Name and Grade). If registering multiple children and multiple classes, please Indicate which class for each child. Please list Allergies and any additional information.

Child goes to After care after music class *

Yes
No

Please let us know if your child will head to aftercare after Music class.

Emergency Contact *

First

Last

Phone

2023 Classes *

Group Guitar

Grosso Music and Fine Arts Corporation Photo Release

I hereby grant permission for video recordings and digital photographs to be taken of my child or my child’s work as part of her/his participation with Grosso Music and Fine Arts Corporation (Hereinafter referred to as GMFA}. I authorize GMFA to use my child’s image on its websites and/or in printed promotional materials without further consideration and I acknowledge GMFA right to treat the media (such as cropping) at its discretion. I also acknowledge that GMFA may choose not to use my child’s image at this time, but may do so at its own discretion at a later date. I understand that once my child’s image is posted on the GMFA website, the image could possibly be downloaded by a third party. I agree that I will not hold GMFA responsible for any harm that may arise from such unauthorized reproduction.

GMFA Group Lesson and Policies *

I have read and agree to the Group Lesson Information and Policies

I have Read the GMFA Photo Release.

Please select one.