Completing these forms declares your permission for your child to attend the 2023 Linda Luebke Strings Festival.

Student First Name

Student Last Name

Please choose one:

Guardian Name

First Name

Last Name

Relationship to Student

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

In case of emergency during class time, whom should we call?

First Name

Last Name

Emergency Contact Number

The number of the person named above.

(###)

###

####

Student Pick Up

Please list those adults, first and last name, with permission to pick up your students.

Instrument

Shirt Size

School Attended

Grade Level

Orchestra Director

FOR HIGH SCHOOL STUDENTS ONLY:

My student has permission to leave the festival unaccompanied at the end of each day.

Yes