How did you learn about Tucson Youth Music?
       
      
  
  
    
          
          
          
            
              
                
                
                
                    
                    
                    
                    
              
              
          
          
          
      
  
  
    
    
  
  
  
    
      
        Family income qualification information
       
      
  
  
    
          
          
          
            
              
                
                
                
                    
                    
                    
                    
              
              
          
          
          
      
  
  
    
          
          
          
            
              
                
                
                
                    
                    
                    
                    
              
              
          
          
          
      
  
  
    
    
  
  
  
    
      
        Family & guardians information section
       
      
  
  
    
          
          
            
            
              
                
                    
              
            
          
      
  
  
    
          
          
            
            
              
                
                    
              
            
          
      
  
  
    
          
          
            
            
              
                
                    
              
            
          
      
  
  
    
          
          
            
            
              
                
                    
              
            
          
      
  
  
    
          
          
            
            
              
                
                    
              
            
          
      
  
  
    
          
          
            
            
              
                
                    
              
            
          
      
  
  
    
          
          
            
            
              
                
                    
              
            
          
      
  
  
    
          
          
            
            
              
                
                    
              
            
          
      
  
  
    
          
          
            
            
              
                
                    
              
            
          
      
  
  
    
      
        Secondary guardian contact information
       
      
  
  
    
          
          
          
            
              
                
                
                
                    
                    
                    
                    
              
              
          
          
          
      
  
  
    
          
          
          
            
              
                
                
                
                    
                    
                    
                    
              
              
          
          
          
      
  
  
    
          
          
          
            
              
                
                
                
                    
                    
                    
                    
              
              
          
          
          
      
  
  
    
          
          
          
            
              
                
                
                
                    
                    
                    
                    
              
              
          
          
          
      
  
  
    
      
        Preferred family location for music lessons
       
      
  
  
    
          
          
          
            
              
                
                
                
                    
                    
                    
                    
              
              
          
          
          
      
  
  
    
    
  
  
    
    
  
  
  
    
      
        Family Signature & Completion Section
       
      
  
  
    
      
        The waiting areas outside classrooms are Quiet Zones. Thank you in advance for keeping our waiting areas quiet and helping to create a respectful environment that supports music education. For more information about TYM behavioral policies, please visit our website. 
       
      
  
  
    
      
        PERMISSION TO PARTICIPATE:  I fully understand and consent to my child/children's participation in Tucson Youth Music's music education program. I agree that my child will be accompanied at group, private lessons, performances, and recitals by a parent/guardian or a person listed in the Pick-Up Authorization section of this Registration Form. I agree to hold Tucson Youth Music harmless against any liability, loss or expense incurred or suffered as a result of my child's participation in the music education program, including and not limited to loss, injury, or expenses in traveling to and from music lessons and program events. I understand that, as with any activity, there are risks to my child. I therefore agree to assume these risks and to hold Tucson Youth Music harmless with any action or actions, suit or suits, in law or equity, which may be brought by any person or persons in connection with, or with reference to, the administration, planning, preparation, development, conduct, and execution of its music programs. I understand that my child will participate in Tucson Youth Music's music education program from the date of this Agreement until withdrawn.
       
      
  
  
    
      
        PHOTO AND VIDEO RELEASE: I fully understand that my child might be in contact with the press and the general public at recitals, performances, or fundraising events. Also, it may be necessary for TYM staff, volunteers, teachers, or photographers/videographers to photograph or video Tucson Youth Music students to advertise the program or for other purposes. I also understand that I give permission for TYM staff, volunteers, teachers, or photographers/videographers to photograph or video my child and use such  photographs or video in print and/or online publications, presentations, websites, and social media for promotional or other use by the Tucson Youth Music. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. Such photographs or video will not be sold or used for any other purposes except as noted above. Only your child's initials or first name will appear.
       
      
  
  
    
      
        Please sign and complete this part of the form for your family. Add individual student information and medical information below. Add an additional student for your family by clicking the "Click this button to add an additional student." button at the bottom of the form.
       
      
  
  
    
      
        Note: Tucson Youth Music does not discriminate on the basis of race, color, gender, religion, national origin or ethnicity in students admission or any program it administers.