Adult Chamber Music Workshop Application
Adult Workshop dates: July 21 - July 24, 2022
The application includes the completion of this form and receipt of the $50 application fee. The deadline is June 1, 2022.
You may either pay your $50 application fee online at the end of this application OR send a check payable to:
Heartland Chamber Music
Livestock Exchange Building
1600 Genessee, Ste. 824
Kansas City, MO 64102
HEARTLAND CHAMBER MUSIC HOLD HARMLESS AGREEMENT & COMMUNICATION POLICY
By completing and submitting this form, I hereby release Heartland Chamber Music, Ltd, its employees and agents, from any claims for damages from personal injury to MUSICIAN or loss of property; and authorize the employees and agents of Heartland Chamber Music to obtain medical care for MUSICIAN in the event of an emergency, including transportation by ambulance. I understand that Heartland Chamber Music does not guarantee an allergy-free environment and that the request for personal allergy information is solely for informational purposes in the event an emergency situation occurs. I indemnify Heartland Chamber Music for the costs of medical care or other damages arising from MUSICIAN participating in Heartland Chamber Music programming.
HEARTLAND CHAMBER MUSIC COMMUNICATION POLICY:
1) Heartland Chamber Music reserves the right to audio and/or video record and/or photograph any and all activities for later use which may include printed or electronic materials and/or radio/television/online broadcast. 2) Musician, either in print, electronically or in audio or video recordings, may be used for any purpose, with or without the use of name, or other pertinent information, and without remuneration, by Heartland Chamber Music and its assigns for the purpose of internal and external communications. Participants are responsible for any/all transportation to and from rehearsals and concerts. By completing and submitting this form you are confirming that you that you have read and understand the Hold Harmless Agreement.