Application form :: Volterra Guitar

Application form

Please fill out the following form and click Submit. Fields marked with a red asterisk are mandatory
Prefix
Last Name*
First Name*
Address*
City*		Postal Code*
Country*		Region / State
Telephone*
E-Mail*
Date of Birth*		Place of Birth
Short Bio (teachers, Education, musical activity, level of playing, intermediate-advanced)*

Participate as:* studentauditor
I have prepared the following repertoire:

A brief statement describing your artistic aspirations and how you feel this workshop will help you get closer to their realization (150 words max.)

How did you hear about us

Release and Waiver Agreement*
Release and Waiver Agreement In consideration of being afforded the opportunity to participate in THE VOLTERRA GUITAR PROJECT, it is hereby acknowledged: 1. I am solely responsible for the safety of my personal items, instruments, and equipment at all times.† THE VOLTERRA GUITAR PROJECT, its agents, sponsors, or venues will not be held responsible for missing, broken, stolen, or lost items and equipment; 2. I understand that Antigoni Goni, and THE VOLTERRA GUITAR PROJECT reserves the right to refuse admission or dismiss any person whose conduct is deemed by Antigoni Goni to be disorderly or disruptive, or who otherwise fails to act in a professional manner consistent with expectations of Antigoni Goni. If such circumstance should arise where I am dismissed from THE VOLTERRA GUITAR PROJECT, I understand that I am not entitled to a refund of any portion of the participation fee; 3. I agree to fully assume all risks and responsibility for all liabilities of any kind including accidents, illness, loss of personal property, and incidental to my participation in THE VOLTERRA GUITAR PROJECT. VOLTERRA GUITAR PROJECT and its agents are not responsible for any damages or claims resulting from participation in THE VOLTERRA GUITAR PROJECT or ancillary thereto. As such, I hereby release and agree to indemnify and hold THE VOLTERRA GUITAR PROJECT, its agents, and representatives harmless against any and all claims arising directly or indirectly from THE VOLTERRA GUITAR PROJECT. I understand in the event that THE VOLTERRA GUITAR PROJECT is delayed, rescheduled, or canceled due to circumstances beyond its control, including but not limited to, adverse weather, acts of war, acts of God, THE VOLTERRA GUITAR PROJECT and its agents, sponsors, and venues will be held harmless.† PARENT OR GUARDIAN PERMISSION IS REQUIRED FOR EACH PERFORMER UNDER 18 YEARS OF AGE I confirm I have read and agree to this Release and Waiver Agreement and give my permission for the minor named below to participate.
I don't accept the agreement		I accept the agreement