MArshall middle school Songwriting Workshop

*must be between the ages of 14-21.

This application is for an eight-week song writing workshop hosted by The Bridge Music Project and sponsored by the City of Olympia. By registering for this program your information will be put into the Olympia Parks, Arts, & Recreation registration system. During this workshop, participants will learn how to write, perform and record their own original music.

· Each week, participants will work to complete their songs with guidance of experienced rappers/artists.

· Guest artists will speak to the class and share their experiences as songwriters.

· We will participate in team building exercises and lessons lead by music professionals.

· Our seventh week, participants will record their song at a professional recording studio.

· Participants will receive a copy of their song and a performance mix.

· Youth will participate in a final performance “Showcase” of their song. Each youth will participate in helping to promote their event.

In order for The Bridge to be successful, it is important that every participant show up to all sessions. In order to continue participating in The Bridge, youth can miss no more than two sessions. Transportation is the responsibility of the participant and/or their guardian unless otherwise arranged.

Sessions will be held at: Marshall Middle School (In the Choir Rooms)

(dates subject to change):

· Mar. 19th, 2019 | 2:45-4:30

· Mar. 26th, 2019 | 2:45-4:30

· Spring Break Week (No Workshop)

· Apr. 9th, 2019 | 2:45-4:30

· Apr.16th, 2019 | 2:45-4:30

· Apr. 23rd, 2019 | 2:45-4:30

· Apr. 30th, 2019 | 2:45-4:30

· May 7th, 2019 | 2:45-4:30

· May 14th, 2019 | 2:45-4:30 (Recording Day)

· May 16th, 2019 | 2:45-4:30 (Recording Day)

A final performance will be held at a to be determined time and space. All student supporters are invited to attend.

*After your application is submitted, a member of The Bridge Music Project staff will be calling to do a short interview. All those who complete an application are invited to participate.

MArshall Middle School workshop application

Acknowledgement of Review of Workshop Summary *

By checking this box, I hereby acknowledge that I have read and reviewed the application introduction/ workshop summary. I have gone over these details with my guardian.

Name: *

Name:

First Name

Last Name

Date of Birth: *

Date of Birth:

YYYY

Phone Number: *

Phone Number:

(###)

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Home Address: *

Home Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address: *

School: *

Grade: *

Preferred gender pronoun: *

Select one.

Parent/Guardian Name: *

Parent/Guardian Name:

First Name

Last Name

Parent/Guardian Work Phone Number:

(###)

###

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Parent/Guardian Cell Phone Number: *

Parent/Guardian Cell Phone Number:

(###)

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Parent/Guardian Home Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian address is the same.

Artist Name (If any):

Who are 3 of your favorite musicians? (Bands, Rappers, Singers): *

How would you describe your music experience? *

This is my first time writing and performing songs.

I am a mid-level single/rapper/musician.

I am very advanced at rapping, singing, musicianship and performing.

Do you play any instruments? If so, which ones?

What would you like to accomplish as part of The Bridge? What is your goal? *

Is there anything else we should know about you?

Please list any medical condition(s), medications and/or required maintenance:

Is the participant currently being treated for an injury or sickness, or taking any medications? *

Yes

If yes, explain:

Free/Reduced lunch at school?

Check this box if the participant qualifies for free or reduced lunches at school.

How did you hear about The Bridge?

After-School Program

School

Website

Social Media

Word of Mouth

Flyer

Other

If other, please indicate source:

Demographic Information

*The following information is kept private and used for Bridge data purposes only.

Gender *

Race/Ethnicity *

Please enter any race/ethnicity that you identify with. List as many as you like. If you prefer not to answer this question, please write "Decline to answer".

Preferred spoken/written language:

Does the participant require language interpretation services? *

If yes, which language?

Are you a member of the LGBTQ community? *

Are you now, or have you ever experienced homelessness? *

Are you now, or have you ever been in the foster care system? *

Media Release: Youth Agreement *

By checking this box, I, the Youth Participant, understand that photos, video and audio recordings of me can be used on The Bridge Music Project and City of Olympia’s website, social media pages, and for other promotional purposes.

Media Release: Guardian Agreement *

*Have your guardian review this statement and agree by checking the box.

By checking this box, I, The Guardian, understand that photos, video and audio recordings of my youth can be used on The Bridge Music Project and City of Olympia’s website, social media pages, and for other promotional purposes.

The Bridge Music Project Liability Waiver: *

I understand and acknowledge that there is no guarantee that this activity is free of risk of personal injury or property damage or loss. I agree to abide by all applicable Bridge Music Project policies, and understand that The Bridge Music Project and/or the class facilitator has the right to exclude me from the class if I become disruptive to an extent that is a detriment to the enjoyment and trust of the other participants and facilitators. I understand and acknowledge that in order to participate in this class, I agree to assume all liability and responsibility for any and all potential risks, injuries, or even death that may be associated with my participation in this class. I understand, acknowledge, and agree that The Bridge Music Project, its owner, employees, and volunteers, guest speakers, any assistants to the instructor, or any representatives of the above, shall not be liable for any injury, illness, damage to or loss of property suffered by me which is incident to and/or associated with my participation with The Bridge Music Project. I hereby release, discharge, indemnify, and agree to hold harmless all parties mentioned above free from any and all liability arising out of or in connection with my participation in this class and/or closing performance. For purpose of this Waiver, liability means all claims, demands, losses, causes of action, suits, or judgments of any kind that may originate from any guardians, heirs, executors, administrators, and assigns against all parties mentioned above because of my personal, physical, or emotional injury, accident, illness, or death, or because of any loss or damage to property that occurs to me or my property during my participation that may result from any cause including but not limited to all parties mentioned above own passive or active negligence or other acts from fraud, willful misconduct, or violation of the law.

I hereby agree to the terms of this Waiver of Liability. This waiver is in force for the entire duration of the class and whenever I am on property used by The Bridge Music Project, both interior and exterior.

Liability Waiver Acknowledgement: *

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS RELEASE OF LIABILITY. I UNDERSTAND THE POTENTIAL DANGERS AND AM WAIVING CERTAIN RIGHTS AND ASSUMING THE RISK OF DAMAGE FROM MY PARTICIPATION.

Message/Comments, if any: