Adult Academy Orchestra Registration Form

Adult Academy Orchestra Registration

To confirm your intent to participate in the Adult Academy Orchestra, please send a check to Off the Hook Arts or pay online by September 11. Please contact us with questions at [email protected].

Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
Instrument*
Previous chamber music experience*
Recent chamber music repertoire*
Please indicate your chamber music preferences*
How did you hear about the Adult Academy Orchestra?*
Off the Hook Arts Educational Programs Media Release

Photo and Video Waiver for Meadowlark Music Program, Chamber Music Academy, Adult Academy Orchestra, Cello Choir participants. I grant permission to Off the Hook Arts, its agents, and its employees the irrevocable and unrestricted right to produce photographs and video taken of my child, myself, and members of my family while at the Meadowlark Music Program, the Chamber Music Academy, the Adult Academy Orchestra and/or the Cello Choir for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium by Off the Hook Arts. I hereby release Off the Hook Arts from liability for any violation or claims relating to said images or video. Furthermore, I grant permission to use the statements of my child, myself, or my family members given during an interview or evaluation with or without my name for the purpose of advertising and publicity without restriction to time limit or geographic area. I waive my right, my child’s rights, and my family’s rights to any and all compensation stemming from the use of these materials.
Electronic Signature for Media Release*
Form of Payment:*
- I'll be sending a check
- I'll be paying by credit card
Credit Card
Card Details
Cardholder Name
Registration for Individuals and Pre-formed Groups*
Fees are per person. Individual rate will be adjusted once you've been placed in an ensemble (based on the ensemble size).
Registration for Individuals and Pre-formed Groups*
Fees are per person. Individual rate will be adjusted once you've been placed in an ensemble (based on the ensemble size).
Total Amount
$0.00
Total: $125
Mail checks to:
Off the Hook Arts
Attn: Chamber Music Academy
1001-A E Harmony Road #260
Fort Collins, CO 80525
Phone
This field is for validation purposes and should be left unchanged.

Mail checks to:
Off the Hook Arts
Attn: Chamber Music Academy
1001-A E Harmony Road #260
Fort Collins, CO 80525

Adult Academy Orchestra Registration Form

Adult Academy Orchestra Registration

Total: $125

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