Please select a summer camp
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June 19-22: My Opus 1, No. 1: Composer Camp
July 26-29: “Do You Hear What I Hear?” An Introduction to the Symphony
Aug 7-11: Music in the Movies!
7/11-7/20 Cantate! Session 1: Beginning Singing Camp; Tuesdays and Thursdays
7/24-8/3 Cantate! Session 2: Intermediate Singing Camp; Mondays and Wednesdays
Would you like to add early dropoff for $10 a day?
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Yes
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Student Name
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First Name
Last Name
Student birthdate
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MM
DD
YYYY
Is this a current student of Heart Beats Music School?
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Yes
No
Parent/Guardian
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First Name
Last Name
Parent/Guardian
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Best number to contact
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May we contact you by text?
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Address
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Address 1
Address 2
City
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Zip/Postal Code
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Please describe the student's musical experience, if any.
We will be providing a snack. Does your child have any food allergies?
Please specify any special needs or pertinent information that would be helpful to teacher, including: students' pronouns, allergies, health conditions/injuries, Spanish Immersion, alternative learning styles (dyslexia, autism), accessibility, etc.
In case of emergency, please specify additional emergency contact.
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First Name
Last Name
Phone
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(###)
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Relationship
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Promo Code
Please review our school policies and procedures. By selecting "I Agree" you acknowledge these policies and agree to comply with them.
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I Agree
How did you hear about us?
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Photo Release: We would like to feature photos and videos of students on our website. Please specify your preferences
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Yes, you may post photos and videos of my student on your website.
No, please do not post photos or videos of my student on your website.
Other: I would like to approve any photos or videos before they are posted.
General Liability Waiver: By selecting "I Agree," the student/guardian agrees that neither Heart Beats Music School, its instructor(s), nor the proprietors of lesson and recital locations shall be liable for any and all injuries, loss, and other damages that may be suffered by reason of voluntary participation in class activities.
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I Agree
Covid-19 Assumption of Risk & Waiver of Liability: Heart Beats Music School cannot prevent you or your child(ren) from becoming exposed to, contracting, or spreading COVID-19 while utilizing Heart Beats’ services or premises. It is not possible to prevent against the presence of the disease. Therefore, if you choose to utilize Heart Beats’ services and/or enter onto Heart Beats’ premises you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19. In registering for classes or lessons, you agree to the following statement: I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to utilize Heart Beats Music School’s services and enter Heart Beats’ premises. These services are of such value to me and/or to my children, that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to utilize Heart Beats’ services and premises in person. I hereby waive my right to bring suit against Heart Beats Music School and its owners, teachers, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing Heart Beats’ services and premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.
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I Agree