Sign the Photo/Video Release and the Medical Emergency Waiver. Update any personal information that has changed during the last year and agree to the medical and photo/video waivers.

Student Name *
Student Name
Birthdate
Birthdate
Parent Name
Parent Name
Parent Phone
Parent Phone
Parent Home Address
Parent Home Address
Emergency Contact
Emergency Contact
Emergency Contact Phone
Emergency Contact Phone
Pickup Authorization
Pickup Authorization
My electronic signature authorizes the emergency contact to pickup my child in the event that parents/guardians are more than 15 minutes late and cannot be reached by phone.
Medical Emergencies Waiver *
Medical Emergencies Waiver
My electronic signature authorizes that, if my child is in attendance at WHIN Music Project events/classes without a parent or guardian, EMS will be contacted first in the event of a serious medical emergency affecting the student. Parents/guardians will be contacted immediately after. If parents cannot be reached, the emergency contact will be called. Orchestrating Dreams, Inc./WHIN Music Project and/or its personnel cannot be held financially responsible for any medical attention provided to the student. I assume all financial responsibility for any costs incurred through treatment provided to my child. Orchestrating Dreams, Inc./WHIN Music Project and/or its personnel cannot be held legally or financially responsible for any accidental injury or loss for which its' personnel, members, volunteers, or guests are not responsible.
Photo/Video Release *
Photo/Video Release
My electronic signature authorizes Orchestrating Dreams, Inc. to take photographs and videos of me/my child for program, publicity, and marketing purposes, given that my child's name will not be made public without my consent.