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 Method *TextCallEmailChild Name *FirstLastGrade *Child Name 2FirstLastChild 2 GradeAdditional Children being registered (Name and Grade). If registering multiple children and multiple classes, please Indicate which class for each child. Please list Allergies and any additional information.Child goes to After care after music class *YesNoPlease let us know if your child will head to aftercare after Music class.Emergency Contact *FirstLastPhone2023 Classes *Group GuitarGrosso 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.GMFA Group Lesson and Policies *I have read and agree to the Group Lesson Information and PoliciesI have Read the GMFA Photo Release.I agreeI DO NOT agreePlease select one. WebsiteSubmit