Leadership in Music Institute | Music For Everyone

Music for Everyone envisions a community that harnesses the power of music to create leaders.

Leaders who are creative, collaborative and resilient. There is no time in the history of our country and communities when the call for leaders who are change makers is more urgent.

We are more than just music. We are developing creators, empathizers, and meaning makers.

2023 Leadership Through Music Institute

Student's Name*
Student's Age*
Student's School*
Last Grade Completed*
Student District*
Student's Primary Instrument*
Number of Years Playing Instrument*
Other Instruments Played
Does the Student have any food allergies or a medical condition we should know about?*
Parent /Guardian Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
Secondary Guardian Contact*
Secondary Guardian Phone contact*
Materials will be provided
Photo Release*
- Yes! By Checking this box I am grant MFE permission for the use requested above
- No! I do not grant MFE permission for the use requested above:
I hereby grant permission to Music For Everyone (MFE), to use, including to display publicly or to perform, the above-named minor’s image, likeness, or voice recording on the MFE website or in any other official MFE publications without further notice or compensation. I hereby consent that any such image, likeness, or voice contained in photographs, recordings, andtapes are the property of MFE, which shall have the right to print, reprint, publish, copy, vend,perform or represent publicly, or create derivative works based on and using the image, likeness,or voice depicted in such photograph, film, or sound recording as it may desire free and clear of any claim whatsoever on my part or the part of the above-named minor. I also understand that once the above-named minor’s image, likeness, or voice recording is published on a web site, it can be downloaded by any computer user. Personal information, such as a addresses and telephone number will never be published. If a minor’s name is used with a photograph, film, or sound recording, it will be in the form of a first name and last initial. For example, student Jane Doe may be listed as “Jane D.”Therefore I agree to indemnify, defend and hold harmless MFE, its officers, employees, agents,successors and assignees (the “Indemnified Parties”) from and against any and all claims and liabilities resulting from this publishing.
Consent*
I hereby attest that I am (we are) the legal parent\guardian(s) of the above-named child and hereby consent to the child’s participation in the activities described above. Further, I agree to release and hold harmless Music for Everyone from liability from any accident, injury, illness or death, sustained by the student listed below in connection with or while participating in this MFE After School Program. In the event of an accident or medical emergency, I authorize that appropriate treatment be administered.

2023 Leadership Through Music Institute

Materials will be provided