Musicale Registration March 2027 |

"*" indicates required fields

Musicale Date*

Student Name*

First Last

Student Name*

First Last

Parent's Name*

First Last

Parent's Cell Phone #*

Parent's Email*

Enter Email Confirm Email

Teacher Name*

Teacher's Email*

Enter Email Confirm Email

Teacher's Cell Phone #*

My teacher is a current STXSA Teacher Member (required for participation)*

Yes

Student Age*

Instrument*

Student's Suzuki Book Number*

Current working piece (ie. Musette)*

Composer of Piece (ie. J.S. Bach)*

I am a STXSA FAMILY MEMBER*

Yes - STXSA FAMILY MEMBER ($25-March)

No - NON-MEMBER ($40-March)

I would like to volunteer on the day of the event.

Please contact me about volunteering

(volunteers needed to help with the reception, set-up, clean-up, bring beverages, paper goods, photography, accompanying, etc.)

I would like to support STXSA with a donation to the STXSA General Fund

(please enter your desired donation dollar amount)

Total

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

STXSA Photo and Liability Release

By submitting this form the undersigned, on behalf of himself or herself and the participant (if a minor) hereby releases and discharges STXSA and its officers, employees, agents and assigns (referred to herein as "STXSA") of and from all claims, liabilities, and causes of action for damages and injuries including those caused by any act or failure to act, negligence, willful misconduct, breach of contract, product liability or violation of statute arising from or relating to the undersigned and/or the participants' attendance and participation in the event described above. I agree to indemnify STXSA and hold it harmless from all such losses, liabilities, damages, claims and actions including legal fees and fees of defense arising out of this event (workshop/class/concert/play-in/etc.). The undersigned, further consents, on behalf of himself or herself and the participant (if a minor), to STXSA's use of photos, videos or recordings of the undersigned and/or the participant from this event (workshop/class/concert/play-in/etc.) for publicity for the organization in print or electronic media.