Today's Date *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone Number *

(###)

###

####

T-shirt Size *

YS

YM

YL

S

M

L

XL

2XL

3XL

Media Release *

I acknowledge that class sessions, recitals, and concerts may be videotaped or photographed for educational, promotional, liability or any other reason and I grant consent for such activity and its use for social media, promotional material, etc. for the Music Studio’s purpose.