MODERN ACADEMY OF MUSIC
2024 Participation form
Student name
I will be participating in MAOM WINTER PIANO RECITAL 2024 on December 20, 2024 at 4:00 p.m.
Please initial to indicate your understanding of, and agreement with, the following (students not participating need only initial the first item):
Students must make every reasonable effort to attend all lessons and rehearsals before the show.
The $15 Participation Fee are due with this form.
All fees are non-refundable.
Payment method:
PayPal use the link: https://www.paypal.me/MAofMusic?locale.x=en_US
Cash
Check
Pay in a personal account on our website MAofMusic.com
Zelle (info@MAofMusic.com or 4632109038)
Parent/Guardian full name:
By typing your name below, you agree to the terms set above. Typing your name serves as your signature.
I DO grant Modern Academy of Music permission to use my/ my child’s photos and videos without identifying name or any other personal information of the student for promotional materials including brochures calendars, flyer, video, websites, social media and etc.
Parent/Guardian Signature
Date
Please return this form no later than December 15, 2024 (final registration deadline).
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