LSM Winter Session Authorization Form

Students 18 years of age or older must sign for themselves. A parent/guardian signature is required for students under 18 years of age.

Dear LSM Winter Session Student or Parent/Guardian,

Welcome to Lutheran Summer Music’s 2022 Winter Session. The LSM Winter Session is presented and completed virtually, utilizing the Zoom platform. The purpose of this letter is to outline expectations, supervision levels, and privacy concerns regarding the LSM Winter Session and seek your consent for your/your child’s full participation.

What is Zoom?

Zoom is a platform to provide safe video and chat-based educational programs on computers, tablets, and smartphones. Students do not need Zoom accounts but will need access to the internet and a computer, phone, or tablet. Students will also need a quiet space to participate in Zoom lessons and classes.

Parent Supervision/Participation

Parents/guardians are welcome to meet faculty and staff during any and all Zoom sessions. Parents/guardians are welcome to stay in the room with the student while in a Zoom session, either on or off the video screen. LSM encourages parents to especially get to know the studio faculty members who are facilitating instruction on the student’s instrument and/or voice.

Class Types

LSM Winter Session will involve two types of sessions, both of which are open to parents/guardians to monitor either on or off camera:

·       Private Lessons: 30-minute instruction lessons between the student and an LSM faculty member

·       Elective Sessions: one-hour group sessions open to all Winter Session attendees taught by an LSM faculty member. These elective sessions will also be hosted and monitored by a second LSM staff member. These sessions may be recorded for later viewing only by Winter Session participants. All participants will be informed if a session will be recorded.

Media Release

I give Lutheran Music Program the absolute right and permission to use the student’s (named below) image, likeness, and/or audio recording in its promotional materials and publicity efforts. I understand this to include publications, print ads, direct mailings, social media, audio and video recordings, and websites. I hereby consent that any such image, likeness, audio, and video contained in photographs and recordings are the property of Lutheran Music Program, which shall have the right to print, reprint, publish, copy, vend, perform, or create derivative works as it may desire free and clear of any claim whatsoever. I release Lutheran Music Program, the photographer/videographer, their offices, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use.

We look forward to you joining us for the LSM Winter Session, and our commitment to keeping the students we serve safe is always our number one priority. If you have any questions about this document or the LSM Winter Session, please don’t hesitate to contact us by any of the methods below:

·       admissions@lutheransummermusic.org

·       (612) 879-9555

·       Text: 612-324-4439

I hereby hold harmless, release and forever discharge Lutheran Music Program and its employees, agents, licensees and legal representatives from, and shall indemnify them against, all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators or any other person(s) acting on my behalf or on behalf of my estate have or may have by reason of my/my Child’s participation in the program(s) and through my authorization, consent and release herein.

I have read this Consent and Release Form, I fully understand it, and I voluntarily agree to be bound by its terms.