Junior Band Week Application

Student Details


E-Mail Contact


Emergency and Medical Information

1st Emergency Contact

2nd Emergency Contact

Consent for travel to bowling

Emergency Authorization

In the event that I or any of the emergency contacts cannot be reached, I hereby consent and give my permission to Memorial University of Newfoundland and/or the School of Music and the medical personnel selected by them to render such emergency medical diagnosis and treatment to my Child while attending the festival as is deemed necessary. Such authorization for emergency treatment shall also include, but is not be limited to, costs incurred for the provision of such aid and treatment that is medically necessary. I understand and acknowledge that these costs are my responsibility and I will assume financial responsibility for the cost of any specialized means and necessary medical care.


I understand that the University assumes no responsibility for personal injury or loss or damage to my Child’s personal property.

I agree to release and waive liability for all claims that I or my Child may have, or may in the future have, against Memorial University of Newfoundland and/or the School of Music, or any person(s), entities or organization(s) associated in any way with the festival, from any and all liability for any loss, damage, injury or expense that my Child may have suffered as a result of his/her participation or presence at the festival, due to any cause whatsoever.

I declare that I, by submitting this form electronically, am legally authorized to submit this Consent/Waiver Form and hereby give my full consent for my Child to participate in the activities and conditions cited above, I have read, understood and agree to the contents of this CONSENT/WAIVER FORM in its entirety and by electronically submitting it freely and voluntarily without any inducement.

The information on this form is collected under the authority of the Access to Information and Protection of Privacy Act, 2015 (SNL2015 Chapter A-1.2) and will be used to process your application for the Memorial University School of Music Junior Band Camp Week. Information collected may also be used to distribute Memorial University School of Music Program information, provided you have given consent to receive same. Information collected shall be kept and/or used for a period of one year, following which it will be destroyed. If you have any questions regarding the collection and use of this information, please contact the School of Music at 709-864-7486.


School of Music

230 Elizabeth Ave, St. John's, NL, CANADA, A1B 3X9

Postal Address: P.O. Box 4200, St. John's, NL, CANADA, A1C 5S7

Tel: (709) 864-8000