Clone of Kearns Library Harmony Hub Registration

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Thank you for your interest in Mundi Project's Harmony Hub Piano Classes! Please review the following details to familiarize yourself with the Harmony Hub program:

Age Groups:

Youth classes include learners from age 8 to 18.

Family class students range from age 6-100; children must be registered with an adult relative.

No unregistered children are permitted in any class.

Location:

Kearns Library - 4275 W. 5345 S. Kearns, UT 84118

Schedule:

Classes begin Saturday August 29. The last event is a Showcase that will be December 5.

10:30 am Beginner - no piano experience at all
11:30 am Intermediate Beginner - some piano lessons in the past
12:30 pm Intermediate Beginner - some piano lessons in the past
1:30 pm Intermediate-Advanced - can comfortably play two-handed

Language: All classes will be held in English, though we encourage everyone to join regardless of their proficiency in the English language.

Accessibility Information: Mundi Project is committed to ensuring our music experiences are accessible to all. If you would like to request accommodations, please email Zach Jacob - zjacob@mundiproject.org with any questions regarding disability accommodations.
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Student's Name* This field is required.This is who will be attending the class.
First Name
Last Name
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Student's Age* This field is required.Minimum age without a registered Parent/Guardian is 8 years old. Minimum age with accompanying registered Parent/Guardian is 6 years old.
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Parent/Guardian NameIf the parent is also registering to attend the class themselves, fill out a second registration form for them as well.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number.
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Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Country
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Have you ever taken piano lessons before?* This field is required.Whether through Harmony Hub or some other method, have you learned about playing piano before?
Please Select
Please Select
Yes
No
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Beginner classesIf you've never taken piano lessons, sign up for 10:30 a.m. If you've taken
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Intermediate classesMinimum student age is 8 years old. No children under 8 years old are permitted in the class. No unregistered children are permitted in the class.
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While everyone is welcome to register for Harmony Hub classes, Mundi Project primarily serves individuals whose circumstances have limited their access to music education. Please select all of the following descriptors that apply to your circumstances (all information provided will be kept anonymous):* This field is required.
Low income
Single Parent Household
Disability
Immigrant/Refugee
Homeless
Unemployed/Underemployed
High medical expenses
None of the Above
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Student Information

You will now be asked to provide additional demographic information about each learner. The demographical information (Race/Ethnicity, LGBTQ+ Status, and Language Preference) is used exclusively for statistical reporting to national and regional foundations that support Mundi Project as well as internal program evaluation. While the entry requires a response, you may select "Prefer not to answer" if you prefer not to report this information.

NOTE: If you need to register more than one student, please complete this form and fill out an additional form for the remaining student(s).
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Student's Race* This field is required.
Please Select
Please Select
Asian
Black or African American
Hispanic, Latino, or Spanish origin
Multi-racial
Native American
Pacific Islander
White
Prefer not to answer
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Student's LGBTQ+ Status* This field is required.
Please Select
Please Select
Yes
No
Prefer not to answer
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Student's Gender* This field is required.
Please Select
Please Select
Male
Female
Other
Prefer Not to Answer
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Media Release Agreement* This field is required.Please read and respond to the following Media Release Agreement: I give permission to Mundi Project to publish photos, videos, audio, and written testimonials obtained of programming participants and relevant family members, including Zoom recordings or other screenshots, on its website, social media, and any other publications or platforms. I release and discharge Mundi Project and its officers, employees, agents, and volunteers from and against any and all damages, complaints, costs, and fees arising from said use of such photos, videos, audio, and written testimonials. I agree to refrain from instituting, pressing, or in any way aiding any claim, demand, action or cause of action for damages, costs, compensation, or fees against the same in connection with such use. Agreeing to the Media Release Form does not imply that the aforementioned media will be published; it simply indicates that Mundi Project has permission to do so in the event it is needed. Disagreeing to the Media Release Form will not impact your participation in this course. We will blur out any individual in photos and videos who does not agree to the Media Release Form.
Yes
No
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Please verify that you are human* This field is required.
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