DCA Strings Volunteer Form

Musician Volunteer Form

Please complete this form. It will help us stay organized as a team while including all of the logistics needed to productively set for concert.
Date Submitting Application*

MonthDayYear
Date
Student/Performer's Full Name*

First NameLast Name
Student/Performer's Phone Number*
Student/Performer's Email*
example@example.com
Are you 18 years of age or older?*

Yes, I am.No, I am not.
Current age if under 18:
Parent/Guardian or Emergency Contact's Full Name*

First NameLast Name
Parent/Guardian or Emergency Contact's Phone Number*
Please enter a valid phone number.
Parent/Guardian or Emergency Contact's Email*
example@example.com
Instrument and Area*

Instrument Violin IInstrument Violin IIViola/ Viola IViola/ Viola IICello/ Cello ICello/Cello IIDouble Bass/ Bass IDouble Bass/ Bass 2Piano
Please select the appropriate dates you will be attending:

On-Standby I want to perform
Media Release Form 2024-2025:

As a parent of a student in Broward County Public Schools or any private institution, I understand that my child may be photographed, videotaped, or interviewed by a private media group, news media, or the school district for informational and/or promotional purposes. I acknowledge that these images and interviews may be used on the District's website, in school district publications, and in external (non-school-related) publications and electronic media, as indicated below:
Section A. External Outlets/Media:*

I WILL permit my child to be photographed, videotaped, and/or interviewed by the media when the news media has secured proper authorization from Broward County Public Schools.
Section B. Broward County Public Schools:*

I WILL permit my child to be photographed, videotaped, and/or interviewed for school publications, such as school yearbooks, school newspapers, class pictures, school and/or District websites, social media, BECON TV, or for other communication tools by Broward County Public Schools or its approved vendors. I understand the District may be required to release this information if requested by the media or other members of the public (i.e., public records requests). Note: Your home address, phone number, email address, child’s name, teacher’s name, and room number may be released in order to facilitate school-based publications.
Student/Performer Volunteer Signature

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Parent/Guardian Signature*

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DCA String Marathon - 2501 NW 11th St Fort Lauderdale, FL, 33311
Dcastrings.com
Afterschool Extracurricular and Supplemental Programs Parent/Legal Guardian Authorization Form

Required for participation in any and all afterschool clubs, events, activities, or supplemental programs after school
Student Name*

First NameLast Name
Student Telephone Number*
Please enter a valid phone number.
Club/Activity/Event Name:

Orchestra

Description or nature of the club, activity, or event:

Community Orchestra/Chamber group rehearsal and Performance.

Date the Club, activity, or event will begin:

11/7/24

Date the Club, activity, or event will end:

6/20/25

Name of club, activity, or event sponsor:

Juan Fernandez (Teacher & Orchestra Conductor)

Types of guests that may attend the club, activity, or event:

Middle School students, High School students, Collegiate students, Professors & Instructors from Private or County institutions.
SCHEDULED DAYS OF THE WEEK: (CIRCLE ALL THAT APPLY)

MondayTuesdayWednesdayThrusdayFridaySaturday
SCHEDULED TIME:

TBA/On-Standby I want to perform
Please check the box below if you agree:*

I give my child permission to participate in the above-named extracurricular activity or supplemental program during the dates and times listed above for the 2024-25 school year.
Name of Parent*

First NameLast Name
Parent Phone Number*
Please enter a valid phone number.
Date*

MonthDayYear
Date
Emergency Contact
Click here if it is the same as the Parent/Guardian or Emergency Contact Information:
Full Name*

First NameLast Name
Telephone*
Please enter a valid phone number.
Relationship to Student:*
Please check box if you understand the following:*

Please be advised that my signature reflected on this document is also my consent and approval for the attached form titled "Afterschool Extracurricular and Supplemental Programs Parent/Legal Guardian Authorization Form."
SIGNATURE OF PARENT: *

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I Consent on the advisory above Volunteer Signature *

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Should be Empty:

Musician Volunteer Form

Afterschool Extracurricular and Supplemental Programs Parent/Legal Guardian Authorization Form

Club/Activity/Event Name:

Orchestra

Description or nature of the club, activity, or event:

Community Orchestra/Chamber group rehearsal and Performance.

Date the Club, activity, or event will begin:

11/7/24

Date the Club, activity, or event will end:

6/20/25

Name of club, activity, or event sponsor:

Juan Fernandez (Teacher & Orchestra Conductor)

Types of guests that may attend the club, activity, or event:

Middle School students, High School students, Collegiate students, Professors & Instructors from Private or County institutions.

Emergency Contact