Longy Side-by-Side | Registration 2024

New or Returning Student*

New Student: I have not participated in Longy's Side-by-Side nor the Summer Academy
Returning Student: I have attended either Longy's Side-by-Side or Summer Academy in the past and I can't wait be back!

Placement Video*

Please submit a video of the student playing their instrument. Add a URL for GoogleDrive, YouTube, OneDrive, etc. Please make sure the sharing settings are set so anyone can view the video.

Student Information

Student Name*

First Last

Student's Preferred Name/Nickname

Student's Preferred Pronouns*

They, them, theirs
She, her, hers
He, him, his
Call me to discuss

Student's Email*

This is the email we will use to communicate with this student about class, access links, and other information. If student doesn’t have an email address, please use a parent email.

Student's Date of Birth*

Race*

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Prefer Not To Answer

Student's Primary Language*

Student's T-Shirt Size*

Student's Community or School Music Program*

Boston String Academy
Kids 4 Harmony
El Sistema Somerville
Conservatory Lab Charter School
Youth and Family Enrichment Services (YoFES)
Cambridge Public Schools
Boston Public Schools
The student is not involved in any of these organization

Student's Daytime School for this (2024/25) School Year*

Please enter the student's elementary, middle, or high school they will attend for the 2024/25 school year. (This is not the student's music program)

Students Grade level in 2024/25*

Student's Instrument*

Enter the number of years this student has played this instrument:

How many years has the student had private lessons? If they have never had private lessons, write “0”.

Does the student play any secondary instruments? If yes, list them here:

Parent/Legal Guardian Information

Name*

Prefix First Last

Email*

Cell Phone*

Text OK?*

May we use the number above to communicate via text messages?

Yes
No

Home Phone

Work Phone

Primary Language*

Address*

Street Address Address Line 2 City State ZIP Code

Second Parent/Legal Guardian Contact Information*

Would you like to enter information for another parent or legal guardian?

Parent/Legal Guardian #2 Contact Information

Name*

Prefix First Last

Cell Phone*

Ok to Text*

Is it OK to text the number above with information about the Side-by-Side Season, reminders, and updates?

Yes
No

Home Phone

Work Phone

Email

Primary Language*

Address*

Street Address Address Line 2 City State ZIP Code

Non-Parent Emergency Contact

Please provide contact information for one non-parent/legal guardian emergency. This person will only be contacted once all other parental contact information has been tried.

Name*

Prefix First Last

Relation to Student

Primary Phone*

Secondary Phone

Authorized Adults (Optional)

Please list any adult(s) that should be authorized to pick up your child from the Side-by-Side program. Please ensure these individuals present valid identification at the time of pick-up.

By checking this box, I authorize the following adults to pick up my child from the program.

Authorized Adult #1

First Last

Primary Phone

Authorized Adult #2

First Last

Primary Phone

Agreements

Allergies, Dietary Restrictions, or Other Medical Conditions*

Briefly describe the student's food allergies and their severity, any other dietary restrictions they may have, and any medical conditions that you'd like Longy staff and instructors to be aware of in the space provided below.

Liability Policy*

To the fullest extent permitted by law, I, the legal guardian of this student, shall defend, indemnify and hold harmless Longy School of Music, its trustees, directors, officers, employees and agents, from and against all losses, claims, suits, actions, damages and expenses (including attorneys’ fees), arising from (Contracted Party) breach of this Agreement, or (Contracted Party) acts or omissions in performing services under this Agreement, except solely to the extent such Claim is directly and proximately caused by the negligence or willful misconduct of Longy School of Music.

I agree to the liability policy.

Attendance Agreement*

Attendance at all Side-by-Side rehearsals, concerts, and sessions is mandatory. If your child cannot attend a session, you must submit an absence request online at least 24 hours before the event. Consistent participation is essential for individual and group musical development—multiple unexcused absences may affect continued participation in the program.

I understand and agree with the attendance policy.

COVID-19 Agreement*

I am the parent or legally authorized representative or guardian of the minor child named below (the “Minor”). I consent to the Minor’s participation in Longy’s Summer Academy program (the “Program”) being offered by Longy School of Music/or its affiliates or subsidiaries (collectively, the “Company”), on Company property, to its employees and their minor children. I understand and acknowledge that the Minor’s participation in the Program is voluntary. In consideration for the Minor being permitted by the Company to participate in the Program, I agree to all the terms and conditions set forth in this agreement (“Agreement”).

1. Assumption of Risk. I acknowledge that there are risks associated with the Minor’s participation in the Program, including personal injury or property loss sustained as the result of the Minor’s participation in the Program. In addition, I acknowledge that the Company cannot prevent the Minor from being exposed to, contracting, or spreading COVID-19 in connection with participating in the Program. I also understand the highly contagious nature of COVID-19, and the risk that the Minor may be exposed to or contract COVID-19 by participating in the Program, which may result in serious illness, personal injury, disability, or death; and/or which may result in my exposure to or contraction of COVID-19; and/or the exposure of those who live or interact with the Minor. I acknowledge that the risks referenced in this paragraph may result from or be compounded by the actions, omissions, or negligence of the Company. On behalf of myself and the Minor, I understand and voluntarily accept and assume all risks of injury, disability, or death, arising from the Minor participating in the Program, whether caused by the negligence of the Company or otherwise.

2. Waiver and Release of Liability. On behalf of myself and the Minor, I hereby expressly waive and release any and all claims, whether known or unknown, against the Company, and its respective present and former, direct and indirect, parents, subsidiaries, affiliates, employees, officers, directors, shareholders, members, agents, representatives, permitted successors and permitted assigns (collectively, “Releasees”), on account of injury, illness, disability, death, or property damage, arising out of or attributable to the Minor’s participation in the Program. This waiver and release of liability includes claims arising out of or attributable to the Minor’s exposure, infection and/or spread of COVID-19 in connection with participating in the Program. This waiver and release of liability includes claims arising out of the negligence of Releasees or otherwise, but does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that applicable law does not permit to be released by agreement. On behalf of myself and the Minor, I covenant not to make or bring any claim released by this paragraph against Releasees, and forever release and discharge Releasees from liability under such claims.

3. Indemnification. On behalf of myself and the Minor, I further agree to indemnify and hold harmless each Releasee against any and all liabilities that are incurred by such Releasee arising out of or relating to any third-party claim, including those alleging exposure, infection and/or spread of COVID-19, related to the Minor’s participation in the Program. For example, this would include another family member or visitor if the Minor were to contract COVID-19, and then pass or infect the other family member or visitor with COVID-19.

4. COVID-19 Procedures. As a parent or legal guardian/representative of the Minor, I will adhere to the Program’s COVID-19 safety protocols and to all federal, state, and local laws, orders, directives, and guidelines related to COVID-19 while the Minor participates in the Program, including, without limitation, requirements related to hand washing/sanitizing, social distancing, and use of face coverings and safety equipment. I further acknowledge that I have been provided with, and reviewed, the Program’s safety protocols and requirements, which were given to me in a separate notice/document.

5. Entire Agreement. This Agreement constitutes the sole and entire agreement by and between the Company and me (and the Minor) with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Agreement is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Agreement or invalidate or render unenforceable such term or provision in any other jurisdiction. This Agreement is binding on and shall inure to the benefit of the Company and me (and the Minor) and our respective successors and assigns. All matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the internal laws of the Commonwealth of Massachusetts without giving effect to any choice or conflict of law provision or rule or any other jurisdiction.

6. Exclusive Jurisdiction and Venue/Jury Waiver. Any dispute relating to this Agreement shall be brought only in a state or federal court with jurisdiction in Suffolk County, Massachusetts; I (and the Minor) consent to the exclusive jurisdiction and venue of such courts. IN ADDITION, I (and the Minor) ACKNOWLEDGE AND AGREE THAT, BY EXECUTING THIS AGREEMENT, I (AND THE MINOR) AFFIRMATIVELY WAIVE ANY RIGHT OR OPPORUTNITY TO HAVE ANY SUCH DISPUTE RESOLVED BY A JURY, AND SUCH DISPUTES SHALL ONLY BE RESOLVED BY THE COURT.

BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS AGREEMENT, THAT I HAVE HAD THE CHANCE TO ASK QUESTIONS ABOUT THIS AGREEMENT, THAT I HAD THE RIGHT TO NEGOTIATE A DIFFERENT AGREEMENT BUT HAVE WAIVED THAT RIGHT, AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANY.

I am the parent or legal guardian/representative of the minor named above. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Agreement.

Walk Home Form (Optional)

I hereby grant permission for my child to walk to and from Longy School of Music’s Side-by-Side rehearsals independently. I understand that this means my child will be solely responsible for their own safety and actions during their commute to and from the rehearsal venue, located at 27 Garden Street, Cambridge MA, 02138.
By providing this permission, I acknowledge that I am relinquishing Longy School of Music from any responsibility for my child during the commute times. I understand that my child will not be under direct supervision by any authorized adult from Longy School of Music during these periods.
I have ensured that my child is aware of the necessary safety precautions and guidelines for walking to and from rehearsals, including but not limited to:
Using designated crosswalks and pedestrian paths.
Avoiding interaction with strangers.
Carrying identification and emergency contact information.
Contacting emergency services or a trusted adult in case of any emergencies.

By checking the box below, I acknowledge that I understand the risks associated with allowing my child to commute independently to and from Side-by-Side and take full responsibility for any consequences that may arise during this time.

By checking this box, I acknowledge that I understand the risks associated with allowing my child to commute independently to and from Side-by-Side and take full responsibility for any consequences that may arise during this time.

By participating in this event, you acknowledge that audio and video recordings may occur and may be used for promotional purposes. If you do not wish your child to be recorded, please email [email protected].

Phone

This field is for validation purposes and should be left unchanged.

Longy Side-by-Side Program, 2024/25 Season

Side-by-Side Registration 2024/25

Student Information

Parent/Legal Guardian Information

Parent/Legal Guardian #2 Contact Information

Non-Parent Emergency Contact

Agreements

By participating in this event, you acknowledge that audio and video recordings may occur and may be used for promotional purposes. If you do not wish your child to be recorded, please email [email protected].