Student Registration Form📝
KAMA 2024-2025 season 🎵
Are you new member?
*
Please Select
Yes
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Student Name
*
First Name
Last Name
Birth Date
*
Please select a year
2025
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Year
Please select a month
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Month
Please select a day
1
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Day
Gender
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent E-mail 1
*
example@example.com
Parent E-mail 2 (optional)
example@example.com
Parent Number 1
*
Parent Number 2 (optional)
School
Grade
*
Select Class
*
Please Select
La Crescenta (Monday)
Torrance (Wednesday)
Fullerton (Thursday)
Irvine (Friday)
Interested in joining:
Concert Choir (7th grade up)
K-POP Dance (all members)
Europe Tour
Tuition Method
*
Cash/Check
Online E-Invoice (+3% transaction fee)
One Time Payment ($1400)
Select KAMA T-Shirt Size
*
Please Select
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Would you like to receive additional KAMA updates? (Competition, Concert, etc. This will be shared via a separate KakaoTalk group)
*
Yes I would like to receive additional informations
No I'm not interested
Additional Comments
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Photo Release Form 📷
Authorization, Release, and Consent
Check off the boxes
*
I grant permission to Korean American Music Academy to use photographs taken of my child/children for use in choir publications such as recruiting brochures, newsletters, and magazines, and to use the photographs on display boards, and to use such photographs in electronic versions of the same publications or on Korean American Music Academy web sites or other electronic forms or media, and to offer them for use or distribution in other publications, electronic or otherwise, without notifying me
I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph.
I hereby agree to release, defend, and hold harmless Korean American Music Academy and its agents or employees, including any firm publishing and/or distributing the finished product on whole or in part, whether on paper, via electronic media, or on websites, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use incomposite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.
I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.
Parent/Guardian's Name
*
First Name
Last Name
Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
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Emergency Contact Information 🚨
In case of an emergency and we are unable to contact parents/guardian:
Emergency Contact Person:
*
Phone Number
*
Please enter a valid phone number.
Relationship to Choir member:
*
Medical Information:
known Allergies, including food allergies, etc
Submit
Should be Empty: