Instrumental Students Registration Form

MODERN ACADEMY OF MUSIC

2026 Participation Form
Instrumental Recital

SPRING INSTRUMENTAL RECITAL 2026
by Modern Academy of Music

Date: May 24, 2026 (Sunday), at 4:00 p.m. (Arrival for a Sound Check at 3:15 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 recital.

Student name:

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

The $30 Participation Fee are due with this form=30

Total $:

0

Payment method:

Cash

Check

Pay in a personal account on our website MAofMusic.com

Zelle (info@MAofMusic.com or 4632109038)

Media Use Consent (Parent/Guardian initials):

I grant Modern Academy of Music permission to use photos and videos of me / my child 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 April 5, 2026, which is the final registration deadline.

Digital signature (Parent/Guardian full name):

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