Student Information

After Class Routine *

Parent Information

Relationship to Participant *
 

Class & Instrument Selection

Participation Agreement

This form gives permission for me or my child to participate in and/or travel with Twin Town Guitars, its staff, volunteers, representatives, agents, for all Twin Town Guitars events for the duration of their participation in music programs through Twin Town Guitars.

Please read the following statements carefully: By selecting Yes, I Agree, you are releasing Twin Town Guitars, its employees, representatives, agents, and volunteers from any liability, personal injury, death, or property loss incurred in connection with the Event(s). You are also giving Twin Town Guitars, its employees, representatives, agents, and volunteers permission to seek whatever medical attention is deemed necessary in the event of an emergency and to provide preventative care to minor children. I/we understand that there are inherent risks involved with any trip or activity and, therefore, I/we agree (on behalf of myself, my spouse and/or my/our minor child) that Twin Town Guitars, together with its employees, representatives, agents, and volunteers shall not be responsible for and are hereby released from any liability for any personal injury, death, or property loss incurred in connection with the Event(s) of the time period noted above. I/we also authorize Twin Town Guitars to seek emergency medical treatment on behalf of me and/or my/our minor child in the event that such treatment is deemed necessary or appropriate by Twin Town Guitars and release Twin Town Guitars from any liability related to that decision or treatment. I/we further authorize the Twin Town Guitars to provide preventative care to me and my/our minor child, and release Twin Town Guitars from any liability related to that care. I/we understand that participation by me and/or my/our minor child in the Event(s) is voluntary. I/we further understand that any necessary transportation for the Event may be provided in vehicles driven by Twin Town Guitars or by third-party commercial carriers. I/we understand and agree that the scope of this release does not extend to willful, wanton, or intentional misconduct on the part of the Twin Town Guitars. I also agree that pictures taken during program hours may be used for promotional purposes.

I have read and agree to the Twin Town Guitars Participation Agreement. *