Live it OutLoud 2026
Below is all the information we will need to get you signed up for Live It OutLoud 2026!
Scholarships are available. Please contact us before filling out this form if you would like to request financial assistance.
Participant Contact
Participant Name
*
First Name
Last Name
Participant Email
*
example@example.com
Participant Phone
*
Please enter a valid phone number.
Participant Age
Parent/Guardian Contact
Parent or Guardian Name
*
First Name
Last Name
Parent or Guardian email
*
example@example.com
Parent or Guardian phone
*
Please enter a valid phone number.
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact email
*
example@example.com
Emergency contact phone
*
Please enter a valid phone number.
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Participant Music Experience and Preferences
Now we'll need to know a little bit about what you play, how long you've played, and what kind of band you'd ideally like to be in!
What is your Primary instrument?
*
Please Select
Drums
Guitar
Bass
Vocals
Keys/Piano
Other
Select the instrument you MOST want to play in the years program.
What is your Secondary Instrument?
*
Please Select
Drums
Guitar
Bass
Vocals
Keys/Piano
Other
We all always try to place you with your primary instrument first, however if there are too many of that instrument we may ask you to play your secondary.
(If Other Please Specify)
If on either the primary or secondary you selected "other" please list what instrument you play.
How many years have you played music?
Total years on any instrument, doesn't have to just be on the ones you want to play in the program.
Of the following Genres, which one would you MOST like to play?
Please Select
Rock
Punk
Metal
Alt Rock
Indie
Pop Punk
Pop
Blues
Country
Rap
Jazz
This is to help get an idea of what you're interested in.
Of the following Genres, which one would you SECOND most like to play?
Please Select
Rock
Punk
Metal
Alt Rock
Indie
Pop Punk
Pop
Blues
Country
Rap
Jazz
Name some of your favorite bands or artists:
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MEDICAL INFORMATION
Please provide relevant health and insurance information.
Does the participant have any medical conditions we should be aware of?
*
Yes
No
If yes, please describe the medical condition(s)
Does the participant take any medications?
*
Yes
No
If yes, please list medications
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LIABILITY WAIVER AND RELEASE
Please review and acknowledge the following agreements.
ASSUMPTION OF RISK - I understand that participation in Live It OutLoud's music programs involves certain risks, including but not limited to: physical activity during performances, use of musical equipment and instruments, potential hearing exposure to loud music, and interaction with other participants. I acknowledge these risks and voluntarily assume them.
RELEASE OF LIABILITY - In consideration for allowing my child to participate in Live It OutLoud programs, I hereby release, waive, discharge, and covenant not to sue Ted Brown Music Outreach, its directors, officers, employees, volunteers, and agents from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury that may be sustained by the participant while participating in such activities.
MEDICAL TREATMENT AUTHORIZATION - In the event of a medical emergency, I authorize Live It OutLoud staff to secure necessary medical treatment for my child. I agree to be responsible for any medical expenses incurred.
CODE OF CONDUCT - I understand that participants are expected to conduct themselves respectfully toward staff, volunteers, and other participants. Live It OutLoud reserves the right to dismiss any participant whose behavior is deemed inappropriate or disruptive.
SIGNATURE
Parent/Guardian must sign and confirm below.
Parent/Guardian Signature
*
Parent/Guardian Printed Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Relationship to Participant
*
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My Products
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Registration Fee
Registration Fee
$
499.00
Payment Processing Fee (optional)
Thanks for helping offset our credit card processing fees!
$
15.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
ACH Bank Transfer
Submit
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