Adult Students Registration Form | Modern Academy Of Music

MODERN ACADEMY OF MUSIC

2026 Participation Form
Adult Students Concert

WINTER CONCERT 2026
by Modern Academy of Music

Date: December 6, 2026 (Sunday), at 5:00 p.m.

Venue: 14800 Parkhurst Drive, Westfield, IN 46074

Stage Rehearsal and Afterparty

Here’s everything you need to know about stage rehearsal and afterparty — save the date, arrival time and be ready!

Stage rehearsal - Sound Check

Date: December 6 (Sunday)
Time: 3:15 PM
Address: 14800 Parkhurst Drive, Westfield, IN 46074
Karaoke Afterparty

Date: December 6 (Sunday)
Time: 7:00 PM
Address: 14800 Parkhurst Drive, Westfield, IN 46074

Participation form

Please review the form, complete the required information, and sign it in order to participate in the show.

Student name:

Please initial below to confirm your understanding and agreement with the following:

The $50 Participation Fee is due with this form

BONUS EVENT: AFTER-SHOW KARAOKE PARTY! 🎤

I would like to attend the Karaoke Afterparty on December 20 at 7:00 PM. Catered food is included. Please bring your own beverages.

The $50 Karaoke Afterparty Participation Fee are due with this form

Payment method:

Cash

Check

Pay in a personal account on our website MAofMusic.com

Media Use Consent (Initials):

I grant Modern Academy of Music permission to use photos and videos of me for promotional purposes, including but not limited to brochures, calendars, flyers, videos, websites, and social media, provided that no identifying name or other personal information of the student is disclosed.

I understand and acknowledge that I must return this form no later than November 5, 2026, which is the final registration deadline.

Digital signature (Full name):

By typing your name below, you agree to the terms set above. Typing your name serves as your digital signature.