Pacific University String Project

2023 Fall Semester

The Pacific University String Project is a partnership between college students learning how to teach and school-aged students learning how to play string instruments. Through this partnership, the preparation of string teachers is improved while the number of young string players is increased, both positively affecting the quality of available educational opportunities in the community.

Students in second through 12th grade learn how to play string instruments, including the violin, viola, cello, and double bass, from our teachers-in-preparation and our master teacher. Students receive instruction in small and large virtual group classes, orchestras, and/or in semi-individual and individual lessons. Each group will meet for two 50-minute classes each week for 12 weeks, and will enable students to progress from beginning to intermediate and advanced levels of playing. Each semester will culminate with an online performance for each group.

If you have any questions or concerns, please contact Dr. Dijana Ihas. Please CC our faculty and Student Administrative Assistant, Sanne Cai.

Student Information

Name of Student

Age

Grade (2022-2023 year)

School Name

Any allergies?

Parent/Guardian Information

Parent/Guardian Name

Address

Primary Phone Number

Secondary Phone Number

Emergency Contact Information

Emergency Contact Name

Relationship to Student

Emergency Contact Phone Number

Student Class Selection

General Release Forms

Informed Consent and General Release Form

As a condition of participation in learning activities situation on Pacific University property, wherever situated, Student’s Parent/Guardian on behalf of Student agree as follows:

Student and Parent/Guardian of Student on Student’s behalf shall jointly share in the responsibility for Student’s safety and ensure that Student refrain from endangering other who are participating in activities on Pacific University property;

Student and Student’s Parent/Guardian on behalf of Student acknowledge that there are inherent dangers in learning activities outside the elementary, middle school and high school campus environments;
Should Parent/Guardian of Student become aware of an accident or injury sustained by Student on Pacific University property, wherever situated, Parent/Guardian agrees to promptly report same to Pacific University Vice President of Finance and Administration at (503) 352-1621, 2043 College Way, Forest Grove, Oregon, 97116.
Learning activities situated on Pacific University property are voluntary; Student’s Parent/Guardian expressly warrants and represents that Student currently is, and at all times during which student shall be, covered by health and accident insurance illness associated with the activities in which Student participates.
In case of emergency, accident or illness, Student’s Parent/Guardian on behalf of Student, hereby grants permission for Student to be treated by a professional medical person and admitted to a hospital if necessary, and Parent/Guardian further agrees to be the party responsible for all medical expenses which are thereby incurred on Student’s behalf.

I have read and agree to the terms above.

Identification & Release Form

Parent/Guardian of Student on behalf of Student and Student’s heirs and assigns, expressly agrees to indemnify, defend and hold harmless Pacific University, its trustees, officers, agents, employees, students and volunteers from all claims, suits, or actions of any nature arising out of Student’s participation in activities situation on University property, wherever located, other than intentional or grossly negligent acts of the University, its trustees, officers, employees, students, and/or agents.

By his/her signature below, Parent/Guardian warrants and represents that he/she is the parent or legal guardian of Student, and that Parent/Guardian assumes full risk for Student’s voluntary participation in activities on Pacific University property, including but not limited to the general risks enumerated below:

General Risk
Classroom facilities situated on Pacific University property are designed and equipped for adult use and frequently contain stairs, railings, windows, flooring, furniture, furnishing, chemicals and potentially hazardous substances that would not likely be found in elementary, middle school or high school learning environments.

By his/her signature below, Parent/Guardian warrants and represents that he/she has read this informed consent agreement and understands same and, further, that he/she agrees to be bound by the covenants, representations, warranties, conditions, indemnification provisions assumptions of risk and consent contained in this consent agreement, and that the enforceability of provisions affecting liability, indemnification, insurance coverage, and assumption of risk shall survive the termination of this agreement.

I have read and agree to the terms above.

Photography Release

I hereby grant permission to Pacific University String Project to use photographs and images taken at classes and performances on its website or in its printed materials without further consideration. I understand that my student may be in one of those photos and I acknowledge Pacific University String Project’s right to crop or treat the photograph at its discretion. I understand that pictures placed on a web page will be accessible to anyone with Internet access and may be used in instructional settings. I also understand that NO complete names are posted with these photos on the website. I have read this release and fully understand the contents. This release shall be binding upon me and my heirs and legal representatives.

I have read and agree to the terms above.

Total

$0.00

Billing Information

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