Parent/Guardian *

Or main auditor if registering yourself

First Name

Last Name

Phone *

(###)

###

####

Who are you registering as an auditor? *

Check all that apply

Myself

My child/children

Does/do the auditor(s) require special accommodations or considerations? (E.g., accessibility, etc) *

Yes

No

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

N/A, I am not registering my child on this form

Media Consent: I consent and authorize MTAC and MTAC Branches to capture, use, reproduce, and distribute images, video, and audio recordings of myself and/or my child, including musical performance or quoted statements, for promotional and educational purposes. I agree that use of such images and recordingd may personally identify myself and/or 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