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Solo Registration Form
Participant Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code


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(mm/dd/yyyy)
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Parent/Guardian Information
Please provide as much accurate information as is possible.

First Name
Last Name



Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code

First Name
Last Name



Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code





If under 18 years old:

If under 18 years old:

I hereby agree that my child, _________________________________, may participate in all activities of the Fayetteville Symphony Orchestra Solo and Ensemble Festival. I understand and agree that the Fayetteville Symphony shall not be responsible for any injury to my child or any damage to, or loss of, my child’s property. I release the Fayetteville Symphony Orchestra from all liability resulting from my child’s presence at and participation in activities directly or indirectly related to the Fayetteville Symphony Orchestra Festival. I understand video, audio, and still photography will be used for marketing of the education programs of the Fayetteville Symphony orchestra and that my child will not be identified in any way.

 

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Parent/Guardian Signature                                                    Date

 

Person(s) authorized to pick up my child:

 

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