Student Registration Form: Winterlude 2022 Afterschool Chamber Music Workshops
Submit this form to register for the Moab Music Festival's Winterlude afterschool student chamber music workshops, January 31 -February 4, 2022, 3:30-5pm daily at Star Hall, and participation in the Winterlude Showcase Concert on Friday, February 4, 7pm.
COVID19 PROTOCOL AGREEMENT: By registering my student to participate in Winterlude events, 1) I understand my student will be required to wear a mask during all Winterlude activities regardless of vaccination status, 2) I agree to show either proof of my student's full vaccination status or daily at-home COVID19 test results 1/31-2/4 with Festival staff upon request (see below for details), and 3) my student will forego rehearsals or concerts if they develop any COVID19-like symptoms and/or test positive for COVID19 immediately before or during Winterlude events. I understand all Winterlude concert attendees (including parents and siblings) must wear a mask at all times (ages 2+) and show proof of vaccine OR negative COVID19 test result dated 2/2/22 -2/4/22 to enter Star Hall. Parent/Guardian signature below:
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My student (select one):
has been fully vaccinated against COVID19 and can demonstrate proof to Festival staff upon request.
will take a self-administered at-home rapid COVID19 antigen test DAILY 1/31-2/4. Test kits will be provided by the MMF upon registration at no cost. My student and I will be prepared to share daily test results with MMF staff upon request. My student will forego rehearsals and final performance if they receive a positive result and will notify MMF staff immediately.
Student Name
*
First Name
Last Name
Student Cell Number
-
Area Code
Phone Number
Parent/Guardian 1 Name
*
First Name
Last Name
Parent/Guardian 1 Cell Number
*
-
Area Code
Phone Number
Parent/Guardian 1 E-mail
*
Parent/Guardian 2 Name
First Name
Last Name
Parent/Guardian 2 Cell Number
-
Area Code
Phone Number
Parent/Guardian 2 E-mail
example@example.com
Student Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Student Instrument
*
Please Select
Violin
Viola
Cello
Bass
Piano
Student Age
*
Student Grade
*
Current String Program Enrolled In:
*
BEACON Strings
Grand County High School Strings
Private Lessons Only
I am not currently enrolled in a music program or taking lessons.
Parent/Guardian Pick-Up Instructions: All students must be signed out by an adult at the end of each rehearsal or have written permission (below) to leave unaccompanied. Please list designated pick-up person(s) for your student, and/or indicate if your student has permission to leave rehearsal unaccompanied.
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E-Signature Commitment: By typing their name, your student is committing to come prepared for and attend all five after-school workshops 1/31-2/4 from 3:30-5pm, and the culminating Winterlude concert on 2/4 at 7pm.
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Submit Application
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