Parent Name *

First Name

Last Name

Performer Name *

First Name

Last Name

Private Teacher Name *

First Name

Last Name

Instrument *

Select all instruments that you play.

violin

piano

viola

voice

cello

Chinese instrument

others

Do you need special assistance? *

Yes

No

Do you have composing experiences? *

Yes

No

Agreement *

By submitting the form, you agree to the following terms: Mindful Musicians serves as a connecting agent, bringing together communities and volunteer performers. The Organization facilitates opportunities for volunteers to engage in performance events but does not oversee, manage, or assume responsibility for the events themselves. As a Volunteer, you agree to: Perform to the best of your ability and adhere to the expectations set by the event organizers. Conduct yourself in a respectful manner during performances and interactions with the community. Ensure your own safety and well-being during events. You acknowledge and agree that: Mindful Musicians is not responsible for any damage, injury, or risk associated with your participation in performance events. You voluntarily assume all risks related to your involvement in these events. Mindful Musicians may take photos and/or videos during performances for promotional purposes. These materials help raise awareness of the Organization’s mission and encourage community engagement. By submitting this form, you consent to the use of such media, provided it does not infringe on your right of publicity. *Performers under 18 years of age must be accompanied by an adult during the event.

I understand and agree to the terms.