Symphonic Band Registration | Lawrence University Forms

Thank you for your interest in the LCMS Symphonic Band Program! Please fill out the form below to register for the 2024-25 semesters.

Registration

I would like to...

Pay in full - $332

Pay a deposit - $50 (non-refundable)

A $50 non-refundable deposit will hold your spot in the program. Your remaining balance will be billed to you.

Would you like to be on an installment plan for payments?

Yes - $12 surcharge (due at checkout)

If you choose to pay with an installment plan, your remaining balance will be evenly divided between four months. Please note that the Community Music School does not store your credit card information, and installments will not be automatically paid.

Are you enrolled in other Community Music School programs for the 2024-25 year?

Yes

No - one-time $19 annual registration fee

Student Information

First and Last Name

Preferred Name

Gender

Male

Female

Not Available

Birthdate

Instrument

Name of School (2024-25 academic year)

Grade (2024-25 academic year)

Do you study with a private teacher?

Yes

Private Teacher Name

Curricular Music Verification

Students registered for Community Music School ensembles are also expected to participate in a curricular (during the school day, for credit) performing musical ensemble when available. Symphonic Band should not substitute for curricular music programs.

I verify that this student is enrolled in curricular music program(s).

Curricular music programs are not offered at this student's school/grade level.

Please list the teacher and class name for each curricular ensemble the student is enrolled in for the 2024-25 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

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

Symphonic Band T-shirt

All Symphonic Band students receive a gray t-shirt, which is included in the price of tuition. Shirts feature the Community Music School logo on the front and the Lawrence Community Bands graphic on the back. T-shirts will be distributed at rehearsal in the fall.

Wind Ensemble and Symphonic Band T-shirts.

Click here to view a size chart.

Shirt Size

Parent/Guardian Volunteering

The Community Music School is looking for parent/guardian volunteers to help with events during the year. Please select your preferred options below if you are interested in volunteering.

I would like to volunteer for...

Concert poster distribution

Concerts - taking tickets and handing out programs

Emergency Contact

The emergency contact cannot be the parent/guardian previously listed. The parent/guardian will be contacted first in the event of an emergency. This contact is in case they cannot be reached.

First and Last Name

Relationship to Student

Phone number to be used in the event of an emergency

Health Information

Please list any allergies, medications, asthma, diabetes, epilepsy, seizures, etc. Please put N/A if there are no concerns.

Does the person registering have any learning or behavioral needs?

Yes

If so, please list needs or accommodations:

Electronic Signature Of Purchaser or Parent/Legal Guardian

Type your name here to sign and confirm the emergency contact and health information.

Community Guidelines

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

Acknowledgement

By checking this box, I agree to follow all 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 2024 - June 2025). 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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