PSE Application

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Student Information

Student Name*
Instrument*
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    This helps us understand the best way to address you. For example, choose “She/her” if you would like us to say “She’s celebrating her birthday today!” on your birthday.
    T-Shirt Size (Adult Only)*

    Parent Information

    Parent's Name*
    Address*

    Teacher Information

    Name of Private Teacher*

    Please have your teacher complete the online Teacher Recommendation Form by February 27th.

    Teacher Recomendation Form Delivery*

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    Please Answer the Following Questions or Submit a Student Resume and/or Biography

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    Accepted file types: doc, docx, rtf, pdf, , Max. file size: 64 MB.
      File types allowed: .doc, .docx, .rtf, and .pdf

      PSE Repertoire

      Would you like to play a chamber piece from a 20th or 21st century composer?
      Audition Alternative
      Photo/video Image Release*
      I give Portland Summer Ensembles (PSE) permission to photograph, and record video and audio images of the musician while participating in any PSE activity. I understand these images and recordings may be used by PSE to promote PSE and/or its musicians. I agree that neither I nor the musician will receive compensation for PSE’s use of such images or recordings.
      WAIVER, RELEASE AND AGREEMENT*
      I hereby waive, release, discharge and agree to hold PSE/MYS and its officers, employees, directors and volunteers harmless from and against any and all claims, damages, injuries, or liability of any nature arising from or related to participation of the musician in any PSE/MYS activity, including but not limited to rehearsals, performances, and other activities, including without limitation those arising out of or attributable to exposure, infection, and/or spread of COVID-19 or any variant thereof. 2. Consent to medical care. As parent or guardian of the musician, in the event of a medical emergency in my absence, I authorize PSE/MYS to obtain medical care for the musician, including consent to administration of drugs or anesthesia, medical procedures, evaluation and treatment. I agree to indemnify PSE/MYS for any medical expense incurred by PSE/MYS in connection with the musician, whether or not it is reimbursed by my insurance.
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