The Agape Troupe Registration Form
First name ________________________ Last name ____________________________
Age __________ M / F Have you taken music lessons before? Y / N
Address ________________________________________________________________
Mom’s name ______________________________________ phone _______________
Dad’s name _______________________________________ phone _______________
Parental Release and Hold Harmless Agreement
I understand that musicians are to obey the director’s rules and the rules of Victory Fellowship Church. I as a parent agree that my child shall demonstrate good conduct and abide by all class rules and regulations. The teacher reserves the right to refuse to instruct any child not willing to abide by the rules.
I/we the parent(s) / guardian(s) of the above named musician recognize that all safety precautions will be taken to ensure the musician’s safety during class. Therefore, I/we do hereby give permission for him/her to participate in the class and waive, release, and forever discharge any and all rights and claims for damages occurring during the class against the teacher or Victory Fellowship Church.
Signature of parent/guardian __________________________________ date _________
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Music Class Rules:
First name ________________________ Last name ____________________________
Age __________ M / F Have you taken music lessons before? Y / N
Address ________________________________________________________________
Mom’s name ______________________________________ phone _______________
Dad’s name _______________________________________ phone _______________
Parental Release and Hold Harmless Agreement
I understand that musicians are to obey the director’s rules and the rules of Victory Fellowship Church. I as a parent agree that my child shall demonstrate good conduct and abide by all class rules and regulations. The teacher reserves the right to refuse to instruct any child not willing to abide by the rules.
I/we the parent(s) / guardian(s) of the above named musician recognize that all safety precautions will be taken to ensure the musician’s safety during class. Therefore, I/we do hereby give permission for him/her to participate in the class and waive, release, and forever discharge any and all rights and claims for damages occurring during the class against the teacher or Victory Fellowship Church.
Signature of parent/guardian __________________________________ date _________
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Music Class Rules:
- No hitting, pushing, shoving, bullying, or swearing allowed! Child will be expelled from class for violation of this rule.
- Good manners are expected from all participants and their parents.