75th Anniversary Commemoration
Pearl Harbor Mass Band
December 7th, 2016
Registration Packet
Call us at 1.800.774.7337
or visit us at www.kaleidoscopeadventures.com
Pearl Harbor, Hawaii — To commemorate the 75th Anniversary of the attack on Pearl
Harbor, the Battleship USS Missouri Memorial and EMI Hawaii will proudly host a mass
band performance featuring high school students from the countries of the United
States of America and Japan.
December 7, 1941is forever etched in the history and culture of both countries. It is our
ultimate goal to pay respect, remember and never forget the tragedies of WWII. Our
Mission of this cultural exchange is to show the world in a truly remarkable manner how
cultures once opposed can now work together and learn from each other through the
gift of music.
This is a “Once in a Lifetime” opportunity for music students and the event is open to all
that wish to participate.
Event Registration
Thank you for considering the Pearl Harbor 75th Anniversary Commemoration
Ceremony Mass Band Performance!
The following must be included to complete your registration:
1.
2.
3.
Completed & Signed Registration Form
Group Biography
Color Group Photo
BAND REGISTRATION DEADLINE: December 7th, 2015
Please send the completed application and photograph to:
David Adkins
c/o EMI Hawaii
45-419 Mokulele Drive, Suite #3
Kaneohe, HI 96744
Call us at 1.800.774.7337
or visit us at www.kaleidoscopeadventures.com
75th Anniversary Pearl Harbor Mass Band Application
Please fill in all pertinent information:
Band Name:
__________________________________________________________
Title:
Contact Person:
Mailing Address:
City:
Zip:
State:
Alt. Mailing Address:
City:
Zip:
State:
Telephone:
Fax:
Cell Phone:
E-mail:
Description of Units (Please circle all that apply)
Marching Band
High School Band
String Band
College Band
Pipe Band
Fife/Drum Corps
Specialty Band
Other
Unit Information
Total Number in Unit:
Breakdown:
Color Group
Woodwinds
PLEASE ATTACH:
Drum Line
Horn
Other
Unit Awards, Recognition’s, Notable History, Performances and your
Band’s Biography
Have you participated in mass band performance before?
Yes
No
(please circle)
When/Where?
Call us at 1.800.774.7337
or visit us at www.kaleidoscopeadventures.com
Travel Planner Information
COMPANY NAME
CONTACT
CITY
STATE
PHONE
FAX
ZIP
EMAIL ADDRESS
The undersigned certifies that the forgoing application has been read and understood and that any
statements made in connection with the application and agreements are true and accurate. The
applicant agrees to comply with all rules and regulations established by the Pearl Harbor 70th
Anniversary Commemoration Ceremony.
Director Signature
Tour Company Signature
Director Name
Tour Company Name
Date
Date
Call us at 1.800.774.7337
or visit us at www.kaleidoscopeadventures.com
Photo Release
75 Pearl Harbor Commemoration Mass Band
th
I hereby grant Entertainment Marketing International, LLC (EMI) and the USS Battleship
Missouri Memorial Association (MAA) and to its employees, agents and assigns permission to
use my likeness in photograph(s)/video(s) in any and all publications. I grant my permission to
EMI and MMA to edit, alter, copy, exhibit, publish or distribute photograph(s)/video(s) for
publication processes, whether electronic, print, digital or electronic publishing via the Internet. I
waive the right to inspect or approve the finished product, including written or electronic copy,
wherein my photo(s)/video(s) appear. Additionally, I waive any right to royalties or other
compensation arising or related to the use of the photograph(s)/video(s). I hereby hold harmless
and release and forever discharge EMI and MMA from all claims, demands, and causes of
action which I, my heirs, representatives, executors, administrators, or any other persons acting
on my behalf or on behalf of my estate which may have or may have by reason of this
authorization.
I am 18 years of age or older and am competent to contract in my own name. I have read this
release, and I fully understand the contents, meaning, and impact of this release.
Participant’s Signature:
Participants Printed Name:
Address:
Children Under 18 Years of Age
I certify that I am a custodial parent and have the aforementioned rights to assign. I have read
this release, and I fully understand the contents, meaning, and impact of this release.
Signature of
Parent or Guardian:
Print Name of
Parent or Guardian:
Address:
Date:
Call us at 1.800.774.7337
or visit us at www.kaleidoscopeadventures.com