Please select the main group that you will attend, and then select your first, second, and third choice for
the classes you would like to take during the "elective" hours (11 AM, 2 PM, and 4 PM).
Emergency Contact Info
Informed Consent and Acknowledgement
I, the undersigned, hereby authorize Yellowstone Summer Music Camp officials to act for me according to
their judgement in any emergency requiring medical attention for the student named above, if camp
officials are unable to contact me. He/She also has my permission to participate in all camp activities. I
give my consent for administration of cough drops, Ibuprofen or Tylenol, and Tums as needed.
I grant to Northwest College (photographer) and its legal representatives and assigns, the irrevocable and
unrestricted right to use and publish photographs/videos of the minor named above, or in which the minor
may be included, for editorial, tradee, advertising and any other purpose and in any manner and medium; to
alter the same without restriction; and to copyright the same. I release Northwest College (photographer)
and its legal representatives and assigns from all claims and liability relating to said photographs/videos.
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL
PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.