Please enable JavaScript in your browser to complete this form.Parent Name *FirstLastEmail *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Preferred Contact MethodTextCallEmailChild Name *FirstLastGrade *Child Name 2FirstLastChild 2 GradeSchoolAdditional Children being registered (Name, Grade, and School).Allergies and additional information (put N/A if not) *Emergency Contact *FirstLastPhone *Fall 2024 Classes *Beginning Ukulele (K-2nd): Wednesdays from 3-4pmUkulele A (3rd & Up): Thursdays from 3-4pmGrosso Music and Fine Arts Corporation Photo Release I hereby grant permission for video recordings and digital photographs to be taken of my child or my child’s work as part of her/his participation with Grosso Music and Fine Arts Corporation (Hereinafter referred to as GMFA). I authorize GMFA to use my child’s image on its websites and/or in printed promotional materials without further consideration and I acknowledge GMFA right to treat the media (such as cropping) at its discretion. I also acknowledge that GMFA may choose not to use my child’s image at this time, but may do so at its own discretion at a later date. I understand that once my child’s image is posted on the GMFA website, the image could possibly be downloaded by a third party. I agree that I will not hold GMFA responsible for any harm that may arise from such unauthorized reproduction.I have read the GMFA Group Lesson Policies & Procedures *I have agree to the GMFA Group Lesson Policies & ProceduresI have read the GMFA Photo Release *I agree with the GMFA Photo ReleaseI DO NOT agree with the GMFA Photo ReleaseEmailSubmit