Legislative Day Provide Music Form Page

Student Name*

First Last

Student Age*

Confirmation of Private Home Education*

Those enrolled in a public, private, charter, magnet or virtual charter school are not eligible to participate.

This student is being educated at home by their parents in accordance with Idaho Code 33-202.

Address*

Street Address City State / Province / Region ZIP / Postal Code

Parent Phone*

Parent Email*

Legislative District (if known)

Use this page to find your district

Have you previously performed at Legislative Day?*

Previous Years Participated

Instrument*

Years Studied*

Music Instructor Name*

First Last

Music Instructor Phone*

Composition*

Composition Composer*

Length of Composition*

Authorizing Parent*

First Last

Photo Consent by Authorizing Parent*

For promotional and other purposes, including social media and Facebook, I authorize Homeschool Idaho, Inc. to use any photographs, video recordings, and/or quotations taken of, or made by, me or my minor children at Homeschool Idaho’s Legislative Day event.

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