World Drumming Friday Registration

World Drumming Friday - Winter/Spring 2024

Who: Kids in 2nd-8th grade.

When: This World Drumming Friday session will begin on Friday February 9th. Younger kids will attend 5:00-6:00pm and older kids will attend 6:15-7:15. This program will continue on each Friday from February 9th through March 29th.

Where: Leopard Rehearsal Space ~ 969 South 2nd Street, 40203 ~ Corner of 2nd & Kentucky

Cost: There are three levels of tuition based on your household's ability to pay: $120/$100/$80. Tuition is due upon registration.

What: World Drumming Friday is an 8-session course where participants will learn rhythms from around the world, their significance in different cultures, and all about the instruments on which they are played.

How: To register, please complete the following form and make your full tuition payment by credit card. If making this payment is an issue, please contact our Operations Director, Caroline Taylor, at caroline.h.taylor@gmail.com. Once you have submitted your registration, you will receive an email confirmation. If you do not receive a confirmation email, your child was not registered. Contact Caroline Taylor with questions.

Student Name*
First Last
Preferred Name (if different than above)
Child's Current Grade*
Child's School*
Gender*
- Female
- Male
- Non-Binary
- Other
- I prefer not to say
Preferred Pronouns (optional)
- She/Her
- He/Him
- Them/They
- Other
Is your student qualified for JCPS Free/Reduce-Priced Meals?*
- Yes
- No
- I don't know
Has this student enrolled in one of our programs in the past?*
- Yes
- No
Race Demographic*
This is anonymous data used for grant reporting.
- American Indian or Alaskan Native
- Asian
- Black or African American
- Native Hawaiian or other Pacific Islander
- White
- Some other race, ethnicity or origin
Ethnicity Demographic - Is your child of Hispanic, Latino/a/x, or Spanish origin?*
This is anonymous data for grant reporting.
- Yes
- No
- I don't know
Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Name*
This name must match the name for the credit card being used below.
First Last
Parent/Guardian Email*
This is where your registration confirmation will be sent.
Enter Email Confirm Email
Parent/Guardian Cell Phone*
2nd Parent/Guardian Name
First Last
2nd Parent/Guardian Email
2nd Parent/Guardian Cell Phone
Emergency Contact (Other than Parent/Guardian listed above)*
First Last Relationship Cell Phone
Comments, Questions or Special Requests:
Photo & Liability Release*
I hereby give permission for the above-named student to attend The Louisville Leopard Percussionists (LLP) camps or classes. In consideration of the advantages of LLP, I agree that the Board of Directors of LLP, its agents, and employees shall be exempt from liability for damages, for bodily injury or property damage that might occur while participating in LLP, except to the extent of insurance liability as provided by law. I understand that photos and videos are taken for publicity and distribution purposes. I hereby give my consent for any pictures in which my child appears to be used for purposes related to the promotion of LLP. I release LLP and all its members from any obligation or liability arising from use of such pictures.
I agree to this LLP photo and liability release.
Pediatrician & Medical Insurance Information
Pediatrician's Name Pediatrician's Phone Insurance Co. Policy Number Member Number

Should a medical emergency arise, we will contact you immediately. If a hospital is required, we will send all kids to Norton Children's Hospital on Chestnut Street.
Is there anything else LLP should know about your child? (severe allergies, medications, behavioral issues, special needs, etc.)
Tuition*
This 8 week course is being offered on a sliding scale based on your household's ability to pay. Please select your level from the three choices below:
- Full Tuition - $120
- Discount Tuition - $100
- Free & Reduced Lunch Family Tuition - $80
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Same as student address above

Street Address Address Line 2 City State ZIP Code
Comments
This field is for validation purposes and should be left unchanged.

Pediatrician's Name	Pediatrician's Phone	Insurance Co.	Policy Number	Member Number