Balinese Gamelan Workshop Permission Form

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McCracken will be hosting a music workshop with Chicago Balinese Gamelan. District 73.5 families are invited to enjoy a brief performance, and then play instruments that come from Bali, Indonesia.

Middleton and Meyer students must be accompanied by an adult.

Date: Wednesday, September 21st

Time: 3:00 PM - 4:30 PM

Location: McCracken Field/Asphalt (Rain Location: McCracken MPR)

Contact Ms. Alvarado at salvarado@sd735.org with any question.

Email *

Student Name (First and Last): *

Parent/Guardian Email: *

Student Grade: *

PK-K (must be accompanied by parent/guardian)

1 (must be accompanied by parent/guardian)

2 (must be accompanied by parent/guardian)

3 (must be accompanied by parent/guardian)

4 (must be accompanied by parent/guardian)

5 (must be accompanied by parent/guardian)

I acknowledge that I am responsible for my actions during the music workshop. I will respect the instruments by following instructions given by workshop leaders, and I will be an active audience member when I am not playing an instrument.
*

YES, I UNDERSTAND

Required

Send me a copy of my responses.

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