CAPMT Santa Clara Valley Chapter

Adult Recital Registration

Teacher First Name *

Teacher Last Name *

Teacher E-Mail Address *

Is teacher a CAPMT member? *

CAPMT Member ($30)

Non-CAPMT Member ($60)

Teacher CAPMT Number *

Instrument *

Fees:

$0.00

Student First Name *

Student Last Name *

Student E-Mail Address *

Performance Information

Name of Piece *

Composer Full Name *

Name of 2nd Piece (optional) 🛈

2nd Piece Composer Full Name

How many minutes is the performance? * 🛈

Any questions or comments to the Chair?

Guidelines & Fees

Adult Recital Guidelines & Procedures

Performance

- 7 minutes or less

- Repertoire does not need to be memorized!

Covid Protocol

- To align with current Santa Clara County guidance, masks are optional, regardless of vaccination status.

By signing here, you agree to the terms listed above. *

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Media Waiver: By checking YES, you acknowledge that you have read and agree to these Terms and Conditions. By checking YES, you also acknowledge that you are 1) age 18 or older or 2) the parent or legal guardian of the applicant under age 18. I hereby grant my consent to the California Association of Professional Music Teachers, Santa Clara Valley Chapter (CAPMT SCV) to photograph, electronically record, transfer, or film the applicant for distribution in all media at any time, all public performances and appearances in or associated with CAPMT SCV events without any compensation or remuneration. I also grant to CAPMT SCV the right to use any such recorded performances, interviews, quotations or photographs of the applicant; and the right to use the applicant's name, voice, image, and likeness in connection with a CAPMT SCV event, including but not limited to: publication in books, magazines, pamphlets, advertising, and newspapers; and on television, radio, internet, and social media channels, without any compensation or remuneration.

Yes