MODE MUSIC AND PERFORMING ARTS LIVE ONLINE ENRICHMENT REGISTRATION

Mode Music and Performing Arts
3801 Delridge Way SW
Seattle WA 98106
http://www.modemusicandperformingarts.org
We are excited to offer a full roster of music, theatre, art, and dance classes for all ages! For Winter 2021, MMPA is offering a full schedule of live online classes that will engage students in self-expression, creativity, and community through the arts.
 
After you register, you will receive a link to enroll in a Google Classroom, where you will have access to all necessary links for live video calls and weekly recorded lessons. The classroom will also allow you to interact directly with your instructor and enjoy additional materials and resources that are relevant to the class. Please see the descriptions for all of our current class offerings below. We'll see you online! 

STUDENT INFORMATION

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CONTACT INFO (ADULT PRIMARY CONTACT)

PRIMARY ADULT Relationship to Student: *
 
SECONDARY ADULT Relationship to Student:
 

MMPA Online LIVE Online Enrichment Classes

MONDAY
Select the class(es) you wish to enroll in below. Age/grade ranges are provided as a suggestion.
TUESDAY
Select the class(es) you wish to enroll in below. Age/grade ranges are provided as a suggestion.
WEDNESDAY
Select the class(es) you wish to enroll in below. Age/grade ranges are provided as a suggestion.
THURSDAY
Select the class(es) you wish to enroll in below. Age/grade ranges are provided as a suggestion.

PAYMENT

*If you are paying what you can, please select 100% scholarship and then enter the amount you are able to pay.*
Current Total:
$0.00

DEMOGRAPHIC INFORMATION

Any and all demographic information is optional and any answers will be confidential. Demographic information received will be used by MMPA to receive funding to keep the cost of our programs affordable to all students. Please complete this section to the best of your ability & comfort level.

STANDARD PHOTO/VIDEO RELEASE FOR MINORS

I hereby authorize Mode Music and Performing Arts (“MMPA”) to publish the photographs taken of me and/or the undersigned minor children, and our names, for use in MMPA printed publications and website. I release MMPA from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize MMPA to use their photographs and names. I acknowledge that since participation in publications and websites produced by MMPA is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by MMPA confers no rights of ownership whatsoever. I release MMPA, its officers, trustees, and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children. *

COMPLETION

I, the undersigned parent/guardian of the registrant, acknowledge the possibility that participation in Mode Music and Performing Arts activities could result in physical injury to the registrant. I hereby release, discharge and agree to hold harmless Mode Music and Performing Arts, its officers, directors, employees, agents and affiliates from any and all claims arising from or related to the registrant’s participation in Mode Music and Performing Arts activities. I certify that I have read, understood, and agree to the above conditions, and that the information provided is complete and accurate to the best of my knowledge.  *
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