Two Bridges Music Lessons

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The dates and times for music lessons will be arranged by the instructor. The instructor will contact you by email or phone.

Your Name *

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Participant Information

Participant's address *

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Participant's age *

Participant's gender *

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Emergency Contact Information

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Class Selection

All monthly subscriptions are limited to one lesson per week.

Please select the type of group instruction (60-minute classes):

Please select
ABRSM Prep (theory) - $125/month
Acting & Improv Workshop (ages 12 and up) - $125/month
Musical Theater Workshop (ages 12 and up) - $125/month

Total Amount

$0.00

How did you hear about us?

Word of mouth
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Authorizations

Two Bridges Arts Program Policy Agreement

I, the participant, agree, or parent/guardian, agree for my child, a minor and participant of Two Bridges Neighborhood Council, Inc.’s (“Two Bridges” or “TBNC”) Arts Program will comply with all the rules applicable of TBNC Arts Program.

Cancellation and Make-Up Policy: Private Lessons Policy:To qualify for a makeup lesson, cancellations must be made with a minimum of 24 hours notice, and the cancellation must be due to illness or other similar good cause. Make-up lessons will be scheduled on a day that is convenient for both teacher and student. Private lessons canceled by the teacher must follow the same guidelines. Makeup lessons must take place within an 8 week window from the date of the missed lesson. In the event of a lesson not being rescheduled:If the student initiated the cancellation, a credit will not be issued and the lesson is void. If the teacher initiated the cancellation, a refund for that lesson will be issued to the student/parent/ legal guardian at the discretion of Two Bridges Arts. No rollover lesson credits will be issued. Group Classes Cancellation Policy: Teachers will make homework assignments available via email to parents/legal guardians and students for missed group classes. Refunds or make-up classes are not available for missed group classes under any circumstances. All missed group lessons due to teacher absence will be rescheduled and offered as a make-up on an alternative day or during break periods.
Running, jumping, skating, or any activity of this type is absolutely prohibited in all premises belonging to Two Bridges Arts Program, and its affiliates, as the arts program operates inside a senior resident building. Any accident caused by a student demonstrating uncouth behavior inside the building may carry legal consequences.
Students are expected to review and practice materials covered in each lesson. Improvement and self-confidence are built through regular attendance, careful listening, and intelligent practice.
Students should respect the property of Two Bridges Arts and be responsible for themselves. Destruction or removal of equipment (e.g. piano, electronics, seating, etc) is not permitted. Financial responsibility for any damages caused by destruction of property (deliberate and/or accidental) will be assumed by the student and/or parents/guardians. The same applies to the property and personal items of other students.
Students will treat faculty with respect. Aggressive, abusive, vulgar or violent language and behavior towards others (e.g. threats, insults, fighting, discrimination, etc.) is not permitted. Students displaying this behavior will be promptly dismissed.
Bicycles are not allowed inside all premises belonging to Two Bridges Neighborhood Council, and its affiliates. Please plan on using other modes of transportation, or securely lock your bicycle outside of the building.
Animals and pets are not allowed at Two Bridges Arts unless needed to accommodate a disability. A Service Dog must display their license on their collar when present in the building as dictated by the law. Emotional support animals are not permitted.

By checking this box, I accept the conditions of the Two Bridges Music Program Policy Agreement *

I accept

Two Bridges Arts Parental Consent, Release, Indemnification and Hold Harmless Agreement

I, the parent/guardian, for my child, a minor and participant of Two Bridges Neighborhood Council, Inc.’s (“Two Bridges” or “TBNC”) Music Program agrees my child will comply with all the rules applicable of TBNC Music Program. In giving consent and checking this box, I realize that every reasonable precaution is taken to reduce the risk of injury as a result of participation in the Two Bridges Music Program. I agree that in the event of an injury or illness, a TBNC staff member may act on my behalf to obtain medical treatment for my child.

In giving consent and checking this box, I hereby agree to waive, release, hold harmless, and defend TBNC; Two Bridgeset Associates, LP; Two Bridgeset Towers, Inc.; Two Bridges-Settlement Housing Corporation; 2BT Housing Development Fund Corporation; and Settlement Housing Fund, Inc. and all of their owners, partners, affiliates, shareholders, members, officers, directors, employees; independent contractors; and volunteers from any liability for damages for personal injury to my child which may arise in connection with the TBNC Music Program.

I HAVE CAREFULLY READ THIS CONSENT, RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND AGREE TO AND UNDERSTAND ITS TERMS AND CONTENT. I AM AWARE THAT IT IS A FULL RELEASE OF ALL LIABILITY AND SIGN OF MY OWN FREE WILL.

By checking this box, I accept the conditions of the Two Bridges Arts Program Parental Consent, Release, Indemnification and Hold Harmless Agreement *

I accept

Two Bridges Arts Program Medical Care Agreement

I, the parent/guardian, hereby grant temporary authority to a designated adult to provide and arrange for MEDICAL CARE for my child, a minor and participant of Two Bridges Neighborhood Council (“Two Bridges” or “TBNC”) Music Program, in the event of an emergency and/or administer general first aid treatment for minor injuries or illness, where the minor is not accompanied by either parents or legal guardians, and it may not be feasible or practical to contact them.

I hereby agree to waive, release, hold harmless, and defend TBNC; Two Bridgeset Associates, LP; Two Bridgeset Towers, Inc.; Two Bridges-Settlement Housing Corporation; 2BT Housing Development Fund Corporation; and Settlement Housing Fund, Inc. and all of their owners, partners, affiliates, shareholders, members, officers, directors, employees; independent contractors; and volunteers from any liability for damages for personal injury to my child which may arise in connection with such medical care.

By checking this box, I accept the conditions of the Two Bridges Music Program Medical Care Agreement *

I accept

Two Bridges Music Program General First Aid Authorization and Consent of Parent(s) or Legal Guardians

I, the parent/guardian, grant my authorization and consent for Two Bridges Neighborhood Council (“Two Bridges” or “TBNC”) staff (hereafter "Designated Adult") to administer general first aid treatment for any minor injuries or illnesses experienced by my child, a minor and participant of TBNC Music Program.

If the injury or illness is life threatening or in need of emergency treatment, I authorize the Designated Adult to summon any and all professional emergency personnel to attend, transport, and treat the minor and to issue consent for any X-Ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur. I agree to assume financial responsibility for all expenses of such care. It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and power on the part of the Designated Adult in the exercise of his or her best judgement upon the advice of any such medical or emergency personnel.

I hereby agree to waive, hold harmless, and defend TBNC; Two Bridgeset Associates, LP; Two Bridgeset Towers, Inc.; Two Bridges-Settlement Housing Corporation; 2BT Housing Development Fund Corporation; and Settlement Housing Fund, Inc. and all of their owners, partners, affiliates, shareholders, members, officers, directors, employees; independent contractors; and volunteers from any liability or damages for personal injury to my child which may arise in connection with such first aid treatment.

By checking this box, I accept the conditions of the Two Bridges Arts Program General First Aid Authorization and Consent of Parent(s) or Legal Guardian(s) *

I accept

Two Bridges Music Program Consent for use of Visual Image

I, the undersigned parent/guardian, hereby irrevocably consent to the unrestricted use and reproduction, without my prior review, for any purpose, including publicity, and in any form or format whatsoever and in an unlimited number in perpetuity by Two Bridges Neighborhood Council (“Two Bridges” or “TBNC”) , without compensation, of any and all of the photographs (in whole or in part, whether used solely or in combination with other images, in original or altered form) which Two Bridges Neighborhood Council or its licensees, or their employees or agents have taken of me, or in which I or my child, a minor and participant of TBNC Music Program may be included. These permitted uses include but are not limited to intranet, internet, television, video, radio, and other visual media. I grant and convey to Two Bridges Neighborhood Council all rights and interests to the photographs, including but not limited to, the right to copyright, use, alter, and publish. I hereby waive any rights to approve or inspect the manner of usage of any photographs of me, or my child, a minor and participant of TBNC Music Program may be included. in giving consent and checking this box, I hereby agree to waive, release, hold harmless, and defend TBNC; Two Bridgeset Associates, LP; Two Bridgeset Towers, Inc.; Two Bridges-Settlement Housing Corporation; 2BT Housing Development Fund Corporation; and Settlement Housing Fund, Inc. and all of their owners, partners, affiliates, shareholders, members, officers, directors, employees; independent contractors; and the photographer and volunteers from any and all liability, damages, claims and demands arising out of or in connection with use of the images, including but not limited to any and all libel, or actions relating to violation of personal privacy or unauthorized use of a personal image, and waive any claims related thereto. I understand that none of Two Bridges Neighborhood Council or its licensees or affiliates is responsible for the content of any third-party media coverage.

By checking this box, I accept the conditions of the Two Bridges Arts Program Consent for use of Visual Image *

I accept

Two Bridges Arts Program – Terms of Conduct

Two Bridges Neighborhood Council, Inc. (“Two Bridges” or “TBNC”) advocates for the health & wellbeing of area residents through an extensive array of public programs & events. Our free programs are available to all residents of the area. In sponsoring these programs TBNC strives to promote and conduct them in a positive and safe environment. Accordingly, individuals participating in TBNC programs are expected to conduct themselves according to the terms which are set forth below, and are also put on notice that their participation in the TBNC’s community programs will be terminated should he/she engage in behavior deemed inappropriate or violate the terms of conduct as set forth below:

Showing respect to all staff by limiting side conversations and fully engaging during play. If you have a question, ask the instructor directly.
Showing respect to other volunteers, staff, equipment and facilities by greeting newcomers, disposing trash, storing away equipment neatly, and refraining from adjusting the temperature, audio, and window blinds.
Resort to staff directly if you need assistance.
Reserving equipment for other volunteers who are late is not permitted.
To limit distractions while class is in session, telephone calls can only be taken outside the room in the lobby.
Refraining from vulgar language and offensive conduct. Language that is deemed offensive to others will not be tolerated. TBNC reserves the right to revise these terms at any time it deems appropriate.

By checking this box, I accept the conditions of the Two Bridges Arts Program Terms of Conduct *

I accept

Two Bridges Program Authority to Register

By checking this box, I affirm that I am either the participant named above, or I have the legal responsibility for the participant named above (e.g., parent or guardian), or I have been instructed by the participant to complete this registration form and that the participant confirms that they agree to all of the conditions noted within this legal section.

By checking this box, I affirm that I have the authority to register this participant, as noted above. *

I affirm

Note that these authorizations will be considered signed and dated as of the time this form is submitted.

Payment

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