How Big Is Your Dream Events Registration

Name

Age

Address

Phone Number

School Name

Grade

Gender

Male
Female

Are you currently taking Music & Arts lessons

Years of Experience

List Instrument / Other

Emergency Contact

Emergency Phone Number

Please list any medications, disabilities and/or food allergies: (Any child/children with medical conditions identified per their application, will be reviewed by our medical advisory team)

List All Allergies / Medications

In case of medical emergency, Academy of the Arts staff is authorized to take my child to urgent care or arrange for transportation to the hospital for emergency care.

Physician Name

Physician Number

Insurance Carrier

Policy Number

Photo Waiver & Release

I hereby grant and assign The How BIG Is Your Dream?! Foundation the non-exclusive right and permission to re-use, publish, re-publish, modify, and otherwise reproduce, and display in any and all media, for any purpose whatsoever, without compensation to the child, parents, guardians, or teacher, the use of photo my child(ren) or me in connection with their/my participation in all How Big Is Your Dream?! Foundation Events and Programming. Being the registrant or parent/guardian of the registrant hereby consent to the forgoing waiver and release and consent on behalf of registrant.

I Accept

Event Registration Options

U.N.I.Ty For Teens By Teens / Open Mic
4:00pm - 7:00pm U.N.I.Ty For Teens ages 13 & up
(MUST Check-in by 5:30pm)

T Shirt Size

Transaction Fee

$0.00

Total

$0.00

Coupon Code

Almost done, where should we send the confirmation?

Name