The Music Man Activity Consent Form and Approval
by Parents or Legal Guardian

Participant's Information

Any Allergies *
By listing allergies I understand that The Music Man NOT a NUT FREE environment
The above participant has my approval to participate in The Music Man Day Camp and The Music Man Showcase.

Photo/Video/Image Release

By Checking you accept and agree to
This form is to obtain approval and consent for those participating in The Music Man Day Camp Program. This form is also to inform you and request permission for your child's photo/image, if taken, to be published on The Music Man website and can be used for marketing and promotional purposes related to The Music Man. It is recommended that parents keep a copy of the form and contact The Music Man in the event of any questions or in case of an emergency contact is needed. Additional copies of this form are available for download at

Hold Harmless Agreement

I have carefully considered my child's involvement and have given consent for my child to participate in the activity. I understand that participation in the activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release The Music Man, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any claims or liability arising out of this participation.

In case of an emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I, as a result of this, give my permission to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose to the adult in charge examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant's parents or guardian, and determination of the participant's ability to continue in the program activities.

Any student enrolled or participating in any activity at The Music Man acknowledges they are in good physical condition and can perform activities within the enrolled class or intensive. Any medical conditions must be made known before the start of the class enrollment and are at the students' own risk.