Children's Gamelan Registration | Lawrence University Forms

Thank you for your interest in the LCMS Children’s Gamelan Program! Please fill out the form below to register for the upcoming session.

Registration

For which Children’s Gamelan program are you enrolling?

Note: Two years of gamelan experience, or instructor permission, is required to register for the intermediate level class.

Program Selection

Children’s Gamelan - $86

Children’s Gamelan Intermediate - $129

Student Information

First and Last Name

Preferred Name

Gender

Female

Male

Not Available

Birthdate

Grade (2023-24 academic year)

School (2023-24 academic year)

Parent/Guardian Information

First and Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Verify Email Address

Billing and program information will be sent to this email address.

Preferred Phone Number

Home

Cell

Parent/Guardian 2 Information (optional)

First and Last Name

Email Address

Verify Email Address

Program information will be sent to this email address.

Preferred Phone Number

Home

Cell

Is the home address the same as the parent/guardian above?

Yes

Address

City/Town

State/Province

ZIP/Postal Code

Community Guidelines

Registration in a Community Music School program indicates understanding and acceptance of our guidelines.

Acknowledgement

By checking this box, I agree to the Community Music School guidelines and accept responsibility for all charges and fees that are incurred.

Assumption of Risk and Release of Liability

This document affects your legal rights - read it carefully.

I am registering for a Program of the Lawrence Community Music School during the program year (July 2023 - June 2024). I acknowledge that the Program is voluntary and may involve certain risks, including those described below.

I understand that the Program involves, among other activities, rehearsing, performing, engaging in recreation, and, if applicable, traveling off campus. I acknowledge that these activities present certain inherent risks beyond Lawrence University’s control.

I choose to participate in the Program understanding its associated risks, and I knowingly and voluntarily assume all risks of injury, illness, death, or damage to or loss of my property that may occur while rehearsing, performing, traveling, engaging in recreation, or any activities arising out of or related to the Program.

My participation in the Program is voluntary, and I understand that I may discontinue my participation at any time in light of the risks I am assuming.

I hereby forever release Lawrence University, its trustees, officers, employees, and agents (the “Released Parties”), from liability for any negligent act or omission arising from my participation in the Program, including related costs, damages, claims, or assertions to which I or my family, estate, or heirs may claim against the Released Parties.

This Assumption of Risk and Release of Liability shall be construed in accordance with the laws of the State of Wisconsin, which shall be the forum for any lawsuits filed under or incident to this Release or the Program.

Acknowledgement

By checking this box, I agree to the Assumption of Risk and Release of Liability.

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