Performer's Name *

First Name

Last Name

Duet Partner's Name (if applicable)

If none, leave blank

First Name

Last Name

Qualifying events *

In order to qualify for this recital, the student must have participated in three branch events in the current school year. Please check the events your student has participated in. This information will be verified with your teacher.

Fall Harvest Recital

Baroque Festival

Certificate of Merit

Master Class (performed or attended)

Spring Fling and Composers Today recital

Memorial Scholarship Recital

Adult Recital

May the 4th Be With You

Name of Accompanist, if using

if none, leave blank

First Name

Last Name

Does the performer require special accommodations or considerations? (E.g., accessibility, special needs, etc) *

Yes

No

Parent/Guardian *

First Name

Last Name

Phone *

(###)

###

####

Performer's Teacher *

First Name

Last Name

Parent/Guardian Consent: As Parent/Legal Guardian of my child, I give my full consent and approval for my child to participate in the programs and activities of the MTAC and MTAC Branches (MTAC / Branch Program(s)) *

I agree

The students registered on this form agree to abide by the dress code and the recital requirements (links provided at the top of this page). *

I Agree

Media Consent: I consent and authorize MTAC and MTAC Branches to capture, use, reproduce, and distribute images, video, and audio recordings of my child, including his/her musical performance or quoted statements, for promotional and educational purposes. I agree that use of such images and recordingd may personally identify my child by name, unless I notify MTAC or MTAC Branches otherwise in writing, and are without any compensation to me or my child. I agree to waive and release any and all claims related to the use of these images and recordings. MTAC owns the sole copyright to the images and recordings taken by MTAC.

I Agree

Privacy Policy: I agree to take video and screenshots of my child only. I understand that I may not share, distribute, or post pictures or videos of any students besides those designated on this form in any public forum, including social media, or privately, and that legal action may be taken to address violations of this policy. *

I Agree