2024 Spark Clinic Registration

Student First Name^*

Student Last Name^*

Date of Birth^*

Student Email^*

Student Phone Number^*

Number for student (in case of needed contact during camp)

Upcoming Grade Level

Gender^*

Housing Needs

Home Address

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Zip ^*

Section^*

What section of the band are you coming to camp to participate in?

T Shirt Size^*

School Information

School Name^*

School Address^*

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Zip ^*

Band Director's Name

Parent Information

Parent/ Guardian First Name^*

Parent/ Guardian Last Name^*

Parent/ Guardian Phone Number^*

Parent/ Guardian Email

How did you hear about us?

By clicking this box, I am in agreement with the terms and conditions of registering and attending camp with Music Effect Design. I can read these terms and conditions here for the Behavioral Terms, Media Release, Waiver and Release of Liability, General Care Release, Indemnification, Arbitrations, and weather clauses. Summer Clinic Terms and Conditions

Terms and Conditions of the

Music Effect Design Summer Clinics


Behavioral terms and conditions/ code of conduct

 

Students are expected to be respectful to the university space and facilities, as well as to all other participants, staff, and campus personnel at the clinic. Students unable to follow the rules and regulations of the university and Music Effect Design Summer Clinics may be asked to leave the clinic.
 Dorm rules and regulations:
 Alcohol, drugs, tobacco, and e-cigarettes, and vapes are not permitted.
Students are only allowed in their own dorms/hallways-visiting with friends should only take place in common areas/lobbies.
 No visitors until the Showcase on the final day.
Students will be on their floor/in their hall by 10:00 and lights out by 10:30.
Staff members perform a nightly student check-in at 10:10.
Please keep the noise level down at night and in the morning to be respectful of others.
Be on time to all classes and sessions. Keep bathrooms and showers clean.
MED and the university are not responsible for lost articles.
Do not leave equipment or personal belongings outside or anywhere unattended.
Wear shoes at all times.
Be careful where you practice.
Respect the buildings and properties of the college.
Media Release

By clicking the box in agreement, I grant permission to Music Effect Design to take and use any photo, videos, recordings, or other media captured during the clinic experience. Media can be used for Music Effect Design promotional materials, newsletters, social media, and websites.
I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.
Music Effect Design has the intention to only share positive images of students and staff experiencing teaching and learning of the pageantry arts and team building.
Waiver and Release of Liability

Express assumption of risk: I, the undersigned, am aware that there are significant risks involved in physical training, including but not limited to, the physical training inherent to all exercise activities, and that my participation in any such physical training program carries with it the potential for death, injury, and/or property damage. The risks include, but are not limited to, falls which can result in serious injury or death; injury or death due to negligence on the part of myself, my training partner, or other people around me; injury or death due to improper use or failure of equipment; strains and sprains; those risks caused by terrain, facilities, temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, and trainers and lack of hydration. These risks are not only inherent to physical training and athletics, but are also present for volunteers and spectators. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participating, volunteering or watching in any physical training, including this marching program. I realize that liability may arise from negligence or carelessness by the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. I acknowledge that I have no physical impairments, injuries, or illnesses that will endanger me or others.
General Care Release:

I acknowledge that I am willingly participating in these activities and that I have assumed all risks as described above. In consideration for my being allowed to participate in the activities offered, I, the undersigned hereby release Music Effect Design and the hosting organization, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. If I am signing/agreeing on behalf of a minor child, I also give full permission for any person connected with the hosting organization to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child.
Indemnification:

The participant recognizes that there is risk involved in the types of activities offered. Therefore the participant accepts financial responsibility for any injury that the participant may cause either to him/herself or to any other participant due to his/her negligence. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless Music Effect Design and the hosting organization, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered. This includes but is not limited to parks, recreational areas, playgrounds, areas adjacent to main building, and/or any area selected for training.
Arbitration & Governing Law:

If a dispute arises out of or relates to this contract, or the breach thereof, and if the dispute cannot be settled through negotiation, the parties agree first to try in good faith to settle the dispute by mediation administered by the American Arbitration Association under its Commercial Mediation Procedures before resorting to arbitration, litigation, or some other dispute resolution procedure.
Weather clause:

Music Effect Design is not responsible for weather or other acts of nature impeding the locations of classes. Music Effect Design will have alternative areas planned for class and be prepared for any type of weather or event that may not allow you to take class outside. Music Effect Design will not refund tuition/registration costs due to weather or other unforeseen circumstances.
Please send any questions regarding the terms and conditions to musiceffectdesign@gmail.com

I accept

Registration Fees

Please submit this form to complete your registration. You will be directed to a PayPal Link where you can pay registration fees in full. If a school is paying part of the registration, you prefer to pay by check, or would like to set up a payment plan and pay later please close out of the payment window after clicking submit. We will send an invoice to the parent email for all registrations that are not paid for at the time of registration within a few days.

Select a payment method^*

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2024 Spark Clinic Registration

School Information

Parent Information

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