June 20, 2018

(open to B2R Port Washington students)

You must be 18 or older to complete this form.

*B2R School that my child attends:
B2R Port Washington
*Student's First Name:  
*Student's Last Name:  
*Student's Age:  
*Set Time - 1st Choice  
*Special instructions/requirements/equipment:  
*Who will provide musical accompaniment?  
*How long has the student studied the instrument?  
*Tell us an interesting fact about the student (for introduction):  
*Parent/Guardian First Name:  
*Last Name:  
*Parent/Guardian Phone Number: (numbers only)  

*Parent/Guardian Email:    

* Indicates a required field.



  • The Musical Showcase is open to all acoustic instrument performances (piano, voice, flute, etc.)
  • All participating students must be enrolled and in good standing in the B2R private lesson program at the time of both sign up and the Musical Showcase.
  • All participating students MUST turn in a completed registration form by 6/06/2018. No late registrations will be accepted. r>
  • Piece selection is final and must be submitted with registration. Piece length may not exceed 3 minutes.
  • ALL participating students are expected to be present and must sign in at least 15 minutes before their set time. No exceptions!
  • Please be on time. To eliminate distractions, doors will be closed when the set begins and no one will be allowed in the room. We also ask that you stay for the entire set and exit only during intermission.
  • All students are expected to follow student conduct rules as outlined in the B2R Policy Handbook.
  • Registration for this event is on a first-come first-serve basis, so sign up now!
  • Business casual attire

 * I have read and understand these rules and regulations. I understand that failure to comply may result in disqualification of the student from the performance.


  • I hereby give Music Makers, LLC (d.b.a. Bach To Rock), their legal representatives and assigns, the absolute right and unrestricted permission to obtain, copyright use, publish and reuse and republish photographic pictures, recordings, videos or portraits made of my child, in any media and for the purposes of advertising, promoting and increasing awareness of Music Makers, LLC.
  • I release and agree to save harmless the schools and the photographer, their representatives and assigns, acting with their permission, including any firm publishing or distributing the finished product for the purpose noted in paragraph one, above,even though the finished product may be distorted, blurred, altered, or used in composite form, either intentionally, or otherwise.
  • I waive any right to approve the finished photograph or any copy which might be used in conjunction with the finished photograph, recording, or video.
  • Please be advised that on the day of the Musical Showcase, representatives of Bach To Rock/Music Makers, LLC will be filming at this event. As a willing participant at this event, your appearance may be recorded and used in future video productions which may or may not include television broadcasts or other public exhibitions.
  • B2R is not liable for any personal injury, or propertydamage arising as a result of child’s participation in the Music Showcase.
  • I have read and understand attached rules and regulations. I understand that failure to comply may result in disqualification of the student from the performance.

 *I hereby agree to the above terms and conditions.