Ages 5-21 Only!
Register your child below. Youth Choirs Music Register Individual Students Separately
Select One
Please Select
Male
Female
Student Name ( one form per student)
*
First Name
Last Name
Select age (must be at least 5 years old)
*
Please Select
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Name of person completing this form
*
First Name
Last Name
Relationship to student
*
Please Select
Self
Parent
Grandparent
Aunt
Uncle
Teacher
Youth Pastor
Pastor
Other Guardian
Email
*
example@example.com
Church
*
Pastor
*
City State
*
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
1. Hold Harmless & Liability ReleaseBy submitting this application, I acknowledge that participation in this program is voluntary and at my own risk. I agree to hold harmless and release Music2Change U, the PNH Foundation, ABA Ministries, Spiritfest, ERay promotions, and all affiliated organizers, staff, employees, and volunteers from any liability for accidents, injuries, or incidents that may occur during the tour or related activities, whether on or off the premises.2. Video & Photo ReleaseI grant Music2Change U, the PNH Foundation, and ABA Ministries the unrestricted right and permission to record, photograph, and/or otherwise capture my (or my child’s) image, likeness, and voice during the above program or related activities.I authorize the organizations listed above to edit, reproduce, distribute, and publicly display such recordings or images in any media format—now known or later developed—for lawful purposes including promotional, educational, and informational use.I understand that:No compensation or payment will be provided for participation or for use of any media created.All materials, recordings, and images remain the property of Music2Change U / PNH Foundation / ABA Ministries.I waive any right to inspect or approve the final materials or their use. I understand drop offs are not permitted and I must stay on site during rehearsals .
*
yes
I Understand Parents, Guardians must purchase a tickets to Spiritfest show as there are no chaperones provided for Spiritfest. Drops Offs Are Not Allowed.
*
Please Select
Yes I Understand
Signature that I've read the registration details
*
Submit
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