Youth Participant Drop-off and Pick-up Form
Parents of guardians of CMS participants under 18, please fill out this form before the first class/rehearsal. Thank you for being part of CMS!
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Email *
For which CMS program(s) is this participant registered? *
Some programs are offered in two locations (Hudson and Boone), so please select the location your child is attending.
Required
Participant Name *
Self Check-in: Would you like to give your child permission to sign themselves in and out of their class/ensemble? *
Adults Approved to Pick up Your Child
Please provide a list of people (including parents/guardians) who have permission to pick up your child from an App State Community Music School event. No child will leave with anyone other than the persons listed below. If any changes or additions need to be made, the CMS Director must receive a written or emailed note from the parent (no phone calls or texts, please) and they may follow up with a phone call to a parent/guardian to confirm the change. These guidelines are in place to ensure the safety of students.
Adult #1 Name *
Adult #1: Relationship to child *
Adult #1 Email *
Adult #1 Phone *
Adult #2 Name
Adult #2: Relationship to child
Adult #2 Email
Adult #2 Phone
Adult #3 Name
Adult #3: Relationship to child
Adult #3 Email
Adult #3 Phone
Adult #4 Name
Adult #4: Relationship to child
Adult #4 Email
Adult #4 Phone
Adult #5 Name
Adult #5: Relationship to child
Adult #5 Email
Adult #5 Phone
We occasionally have requests for the complete roster so that families can arrange carpools. Would you like your contact info released for this purpose? *
Required
Drop-Off and Pick-Up Agreement
We agree to collect our child at the pick up point in a timely manner or arrange for someone else to do so. We understand that our child will only be allowed to leave an App State Youth Camp with a person on the above list or alone if given permission. If  any changes need to be made to the list, these changes must be in writing from a parent or guardian.

Parent/Guardian Agreement *
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