Parent/Guardian Name (if under 18)

First Name

Last Name

Phone *

(###)

###

####

Student Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Date *

MM

DD

YYYY

If you are a non-student, please be ready to pay the workshop fee via cash or check when you arrive. *

I agree to the above terms:

Tahoe Truckee School of Music observes the same snow days and holidays as Tahoe Truckee Unified School District. We will try to reschedule any workshops that need to be cancelled due to snow days. *

I agree to the above terms:

I give the Tahoe Truckee School of Music permission to record, videotape, or photograph my child (or self) during his/her participation in workshops, lessons, classes, recitals, or other events that are TTSM sponsored and used for the purposes of promotion and archive. *

I agree to the above terms:

I hold the employees/contractors of the Tahoe Truckee School of Music and its endeavors harmless from liability during the time my child (or self) is participating in any TTSM programs, except in cases of gross negligence. *

I agree to the above terms: