LA Inception Orchestra Ear Training Application Form 2022
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Email *
STUDENT #1  FULL NAME *
STUDENT #1 - DATE OF BIRTH *
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STUDENT #1 EMAIL (If Applicable) *
STUDENT #2  FULL NAME *
STUDENT #2 DATE OF BIRTH *
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PARENT OR GUARDIAN (if under 18) *
PARENT OR GUARDIAN CELL PHONE *
PARENT OR GUARDIAN EMAIL *
NAME OF SCHOOL OR PARTNER PROGRAM *
GRADE LEVEL *
Primary Instrument *
PLEASE READ EACH OF THE FOLLOWING AND CHECK IF YOU APPROVE
I have reviewed the class schedule for ear training and agree to the time and dates. Saturdays, 9:00 am - 9:50 am Pacific
After 5 group sessions, my child(ren) may sign up for a private mentoring session once every other week scheduled between the student and mentor on a different day. I understand that the Inception team rotates private mentors, and it is at their discretion whom my child works with and that he/she/they may not get the same mentor each lesson.
I understand that online private mentoring will be scheduled between my mentor and myself, but if the student misses a scheduled mentoring session, it will count as an absence and will not be rescheduled unless the mentor agrees to make it up.
I understand that I must cancel private mentoring sessions 24 hours in advance or incur a $100 fee. The only exceptions are illness and schoolwork. It is at the mentor's discretion to reschedule this.
I understand that if a mentor has to reschedule an online session, he/she will make up the session with me at a mutually convenient time.
I understand the cost of this program to me is FREE. The Inception team is fully invested in my success, and I will complete any and all evaluations and participate in any and all surveys I’m asked to complete.
I understand that the Los Angeles Inception Orchestra will film and/or record any or all of  the mentoring sessions. For the ear training class only, video is only recorded for a record and is made available to parents within 24 hours of each session for review without edits or cuts. No video is released to the public. Occasionally, Inception will use a still photo of a session for publicity purposes, but no minor will be identified.
I understand that I am responsible for all transportation to and from all Inception workshops and events once we return to the live setting.
I have thoroughly read and understand this application and its requirements. Printed name in lieu of signature.  Parent or guardian if under 18.  
Date of complete application
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