Concert Registration -

Registration and Media Release Form

Performer's Name

First

Last

Performer's 2 Name (if applicable)

First

Last

Performer's 3 Name (if applicable)

First

Last

Performer's 4 Name (if applicable)

First

Last

Parent's/Guardian's Name (If the performer is under 18 years of age. Write N/A if not applicable)

First

Last

Contact Email

Phone

How many songs do you want to perform?

Comments

Media Release and Consent Form: Alberta School of Indian Music and Performing Arts may take photographs, videos, or audio recordings of students. These images, videos, or audio recordings may be used for school’s promotional or educational purposes.

Yes, I hereby grant permission for me/my child to appear in the video or audio recordings, films, photographs, written articles, or on websites and social media sites for research or educational or School's promotional purposes.

No Refund Policy: Concert Registration fee is nonrefundable.

Yes, I understand that the concert registration fee is nonrefundable.

Registration Indian Media

Date

Full Address