Recital Registration Form Δ URLThis field is for validation purposes and should be left unchanged.ATTENTION: Registration is $85 if you register by the April 15, 2026, deadline. Afterward, the registration fee will be $100.00 Student InformationCurrent Student Name(Required) First Last Email Mobile Phone (for Texting)Lesson Location(Required)HomeOfficeSchoolZoomSchool Name(Required)Recital AttendanceWill Student Participate In This Year's Recital? Sunday May 17, 2026(Required) Yes No Number of Family Members Attending?(Required)Please List All Family Members Attending.(Required)Type Names One Per LineFees/PaymentRegistration Fee Price: This field is hidden when viewing the formQuantityTotal Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name ConsentsConsent(Required) I understand that a STUDENT RECITAL FEE is required for participation. Parents or Guardians of students receive two free tickets (per family), even if a sibling is participating. Children under 12 are free. Additional tickets for friends and family can be purchased online at: https://musiconwheelsga.com/2026-spring-recital/. Additional tickets can be purchased. All fees and tickets are non-refunadable.Consent(Required) I understand that my tuition MUST be current and paid before I/my child(ren) can participate in the annual Spring Recital. I also understand that I/my child(ren) MUST be a CURRENT student to participate in the annual Spring Recital.Consent(Required) I understand that Recital fees/tickets paid are NON-REFUNDABLE. Participation is optional. Recital Day will count as a regular lesson day. Therefore, there will be no classes/lessons May 26th through June 1, 2025 (Memorial Day week). Classes will resume as normal, starting on June 2nd.Consent(Required) I waive, release and discharge from any and all liability, including but not limited to mishap, accident/injury, or death arising from the negligence or fault of the entities or persons released: Marietta’s Theatre in the Square, Music On Wheels, LLC, The Miracle Foundation of Arts and Academics and /or their directors, officers, employees, volunteers, representatives, and agents, the activity or event holders, sponsors, or volunteers. I indemnify, hold harmless, and promise not to sue the entities mentioned in this paragraph from all liabilities and claims resulting from participation in classes, lessons, events, or activities due to negligence, errors, theft, omissions, acts, or failures to act of any party or entity conducting services, activities, or events on behalf of Marietta’s Theatre in the Square, Music On Wheels, LLC, and The Miracle Foundation Of Arts & Academics.Consent(Required) I also understand that at this event or related activities, my child or I may be photographed or videotaped in activities described within Music on Wheels’ program. I agree to allow photos, video, Internet advertisement, and/or film to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, for marketing, informational, or educational purposes. (STUDENTS CAN NOT PARTICIPATE UNLESS THIS IS SIGNED. THE RECITAL WILL BE RECORDED)This field is hidden when viewing the formSignature of AgreementSignature(Required)This field is hidden when viewing the formSubmission Date MM slash DD slash YYYY
