Modern Academy of Music 2022 Participation Form

Student name

I will be participating in MAOM WINTER SHOW 2024 on NOVEMBER 30, 2024 (rehearsal on the stage at 1:00 p.m., show 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 $70 Participation Fee are due with this form.

I will be participating in MAOM Kids show group performance (Ages 4-17) and will attend 4 group rehearsals for the WINTER SHOW 2024 on NOVEMBER 30,2024.

Schedule:

November 9, 16, 23, 2024 (Saturdays):

Ages 4-5: 3:00-3:30 p.m.
Ages 6-8: 2:00-3:00 p.m.
Ages 9-12: 10:00 a.m.-12:00 p.m.
Ages 13-17: 12:00-2:00 p.m.

Final rehearsal: November 29, 2024 (Friday):

Ages 4-8: 4:00-5:00 p.m.
Ages 9-12: 5:00-6:00 p.m.
Ages 13-17: 6:00-7:00 p.m.

Group rehearsals will be held at:
3351 Redbud Ct., Westfield, IN 46074

The $50 Kids show group participation fee are due with this form.

All fees are non-refundable.

I have MAoM logo T-shirt for performances.

I don’t have MAoM logo T-shirt for performances and want to order it

MAoM Logo T-shirt for performances price $25.00 is due with this form

Participation Fee ($70/student)

Kids show group rehearsals fee ($50/student)

Professional Photos from the show ($15.00)

Professional Video from the show ($15.00)

Total (manually)

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 initials:

All costumes for group songs will be provided by MAoM to use on the stage for free and should be returned to your named case after your group performances on November 30, 2024. If costumes will not be returned on November 30, 2024 you will be charged $50 for each costume

Parent/Guardian initials:

If your child participates in group performances she/he must bring to the show his/her own: Logo T-shirts, white plain sneakers, white plain high socks for girls and white plain pants for boys

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 November 1, 2024 (final registration deadline).