Dr. Helen Marlais Master Class Audition Form

Teacher Name

Teacher Email Address

Teacher Phone Number

Student name

Student age

Piece title

Piece level

Piece video URL (YouTube, Google Drive, Vimeo, etc)

Participant Release: I authorize GFMC, and those acting pursuant to its authority, to:
(1) Record my participation and appearance on videotape, audiotape, film, photograph or any other medium.
(2) Use my name, likeness, voice and/or biographical material in connection thereto.
(3) Exhibit or distribute such material in whole or in part without restrictions or limitation for any publicity or promotional purpose which GFMC, and those acting pursuant to its authority, deem appropriate.
By Checking this Box I understand this is not a guarantee of admission to the Master Class, but an opportunity to audition for participation.

Please leave this field empty.

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