STUDENT INFORMATION

Student First Name(Required)

Student Last Name(Required)

Grade(Required)

Instrument(Required)

School(Required)

Ethnicity

Student Email

if applicable

Student Phone Number

if applicable

Student Mailing Address(Required)

Note: this will be used as the address for all mailed communication Student City Student State Student Zip

T-shirt size(Required)

PARENT/GUARDIAN #1 INFORMATION

Parent/Guardian #1 First Name(Required)

Parent/Guardian #1 Last Name(Required)

Parent/Guardian #1 Email(Required)

Note: All communications are sent to email addresses provided for student, parent/guardian #1, and parent/guardian #2. Invoices are sent to email address provided for parent/guardian #1. Please make sure that your email account will accept mail from AYSP (not blocked by your spam folder).

Parent/Guardian #1 Primary Phone Number(Required)

Parent/Guardian #1 Secondary Phone Number

Parent/Guardian #1 Address(Required)

⠀ Parent/Guardian #1 City Parent/Guardian #1 State Parent/Guardian #1 Zip

Student lives with Parent/Guardian #1(Required)

Parent/Guardian #1 Employer(Required)

Parent/Guardian #1 Position(Required)

PARENT/GUARDIAN #2 INFORMATION

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Email

Note: All communications are sent to email addresses provided for student, parent/guardian #1, and parent/guardian #2. Invoices are sent to email address provided for parent/guardian #1. Please make sure that your email account will accept mail from AYSP (not blocked by your spam folder).

Parent/Guardian #2 Primary Phone Number

Parent/Guardian #2 Secondary Phone Number

Parent/Guardian #2 Address

⠀ Parent/Guardian #2 City Parent/Guardian #2 State Parent/Guardian #2 Zip

Student lives with Parent/Guardian #2

Parent/Guardian #2 Employer

Parent/Guardian #2 Position

ACKNOWLEDGEMENT OF POLICIES AND PROCEDURES

Assumption Of Risk, Release, And Waiver Of Liability Agreement:

RELEASE AND WAIVER. In consideration of my child being accepted into the Albuquerque Youth Symphony Program (“AYSP”) and granted access to the AYSP facility, located at 4407 Menaul Blvd. NE, Albuquerque, New Mexico 87110 (“Facility”), I do hereby forever release, waive, discharge, and covenant not to sue AYSP, its past, current, and future officers, directors, employees, members, volunteers, contractors, representatives, owners, affiliates, agents, successors, and assigns (“Releasees”) from any and all damages, injuries, losses, liability, claims, causes of action, litigation, or demands, including but not limited to those for personal injury, sickness, or death, as well as property damages and expenses, of any nature whatsoever which may be incurred, directly or indirectly, now or in the future, in connection with my spending time in the Facility. I promise not to sue Releasees for any of the foregoing.

Parent Initials(Required)

I have read and fully understand the above release/waiver

TUITION

Tuition Payment Selection

Information on tuition fees, payment schedules etc. can be found on our website under "Tuition and Financial Aid."

Sponsor a Student(Required)

ELEMENTARY STRING PROJECT II 2022-2023

Assumption Of Risk, Release, And Waiver Of Liability Agreement:

Tuition Payment Selection

SUPPORT

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LINKS

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