2026 Grassfield Orchestra Atlanta Trip Registration Form
  • 2026 Spring Trip Registration

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  • Format: (000) 000-0000.
  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Medical Release

    To be completed by parent/guardian.
  • In the event of sickness or accident, the sponsors and/or chaperones are granted the permission to seek any and all medical attention of the above named child. Also, I grant the permission to give any and/or all needed medical care and treatment to the child to any medical facility and/or physician that are licensed to provide this care and approved by the sponsor and/or chaperone. This permission is granted in the absence of me/us as the parent or guardian of the minor child.

    This trip is not insured but should you wish to purchase TRAVEL INSURANCE for your child you can do so by applying online through a company like: www.allianztravelinsurance.com

    By signing below the student agrees to follow the guidelines set by school officials and the guidelines of Custom Music Tours as listed in the Terms and Conditions. By signing below the parent/guardian agrees to the medical disclosure and the terms of the financial payments and disclosures given in the contract agreement.

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  • Should be Empty: