Institute of Music for Children Summer Camp Institute 2019 

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The mission of Institute of Music for Children is to engage children and youth in artistic expression and the creative process.
Summer Camp 2019





STUDENT INFORMATION 









Two shirts are included in the price of your registration, if you would like additional tee shirts please enter how many additional you would like below.







Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Additional fees apply.

Additional fees apply.
STUDENT INFORMATION 









Two shirts are included in the price of your registration, if you would like additional tee shirts please enter how many additional you would like below.







Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Additional fees apply.

Additional fees apply.
STUDENT INFORMATION 









Two shirts are included in the price of your registration, if you would like additional tee shirts please enter how many additional you would like below.







Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Additional fees apply.

Additional fees apply.
STUDENT INFORMATION 









Two shirts are included in the price of your registration, if you would like additional tee shirts please enter how many additional you would like below.







Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Additional fees apply.

Additional fees apply.
STUDENT INFORMATION 









Two shirts are included in the price of your registration, if you would like additional tee shirts please enter how many additional you would like below.







Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Half Day and Recreation Sessions Program = Student will not be part of the final showcase.

Additional fees apply.

Additional fees apply.
Parent/Guardian Information 


































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PROGRAM DETAILS 
HANDBOOK ACKNOWLEDGE 
READ & PRINT HANDBOOK FOR YOUR RECORDS HERE 

PERMISSIONS 

The following people (in addition to primary parents/ guardians listed on registration form) have permission to pick up or drop off my child. 










MEDIA RELEASE 

HEALTH CONSENT 

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3RD - 11TH GRADER CLASS SELECTION  
MORNING CLASSES 

Select only your top four(4) classes in order of preference 

8:00 am - 12:20 pm 
Students class schedules are based on a Day One & Day Two schedule. Students participate in four (4)arts classes throughout  day one and a different combination of four(4) classes in day two.

Students may pick their top four (4) class choices. The Institute cannot guarantee that students will be placed in all of their chosen classes, but will try to place students in their top 2 choices. ALL class selections are final.  




If you have selected an instrument for any of the choices, please indicate playing level below.


YOUNG CHEF CLASS CONSENT FORM 3rd- 11th Graders ONLY  

Students will have the opportunity to use kitchen utensils and equipment during the Institute of Music for Children’s cooking program. Students will learn about appropriate handling of food items and safe operation and use of the kitchen equipment and they will be supervised at all times. Parents should be aware, however, that participation involves using knives and other sharp utensils, and that children will be working with and in close proximity to large kitchen equipment and hot items.  Classes may also involve handling of raw food items.  Although every precaution is taken to prevent accidents, a certain risk is involved due to the nature of the experience, the age of the student, and the learning environment.





3RD - 11TH GRADER CLASS SELECTION  

STUDENT 2 BELOW

MORNING CLASSES 

Select only your top four(4) classes in order of preference 

8:00 am - 12:20 pm 
Students class schedules are based on a Day One & Day Two schedule. Students participate in four (4)arts classes throughout  day one and a different combination of four(4) classes in day two.

Students may pick their top four (4) class choices. The Institute cannot guarantee that students will be placed in all of their chosen classes, but will try to place students in their top 2 choices. ALL class selections are final.  




If you have selected an instrument for any of the choices, please indicate playing level below.


YOUNG CHEF CLASS CONSENT FORM 3rd- 11th Graders ONLY  

Students will have the opportunity to use kitchen utensils and equipment during the Institute of Music for Children’s cooking program. Students will learn about appropriate handling of food items and safe operation and use of the kitchen equipment and they will be supervised at all times. Parents should be aware, however, that participation involves using knives and other sharp utensils, and that children will be working with and in close proximity to large kitchen equipment and hot items.  Classes may also involve handling of raw food items.  Although every precaution is taken to prevent accidents, a certain risk is involved due to the nature of the experience, the age of the student, and the learning environment.





3RD - 11TH GRADER CLASS SELECTION  

STUDENT 3 BELOW

MORNING CLASSES 

Select only your top four(4) classes in order of preference 

8:00 am - 12:20 pm 
Students class schedules are based on a Day One & Day Two schedule. Students participate in four (4)arts classes throughout  day one and a different combination of four(4) classes in day two.

Students may pick their top four (4) class choices. The Institute cannot guarantee that students will be placed in all of their chosen classes, but will try to place students in their top 2 choices. ALL class selections are final.  




If you have selected an instrument for any of the choices, please indicate playing level below.


YOUNG CHEF CLASS CONSENT FORM 3rd- 11th Graders ONLY  

Students will have the opportunity to use kitchen utensils and equipment during the Institute of Music for Children’s cooking program. Students will learn about appropriate handling of food items and safe operation and use of the kitchen equipment and they will be supervised at all times. Parents should be aware, however, that participation involves using knives and other sharp utensils, and that children will be working with and in close proximity to large kitchen equipment and hot items.  Classes may also involve handling of raw food items.  Although every precaution is taken to prevent accidents, a certain risk is involved due to the nature of the experience, the age of the student, and the learning environment.





3RD - 11TH GRADER CLASS SELECTION  

STUDENT 4 BELOW

MORNING CLASSES 

Select only your top four(4) classes in order of preference 

8:00 am - 12:20 pm 
Students class schedules are based on a Day One & Day Two schedule. Students participate in four (4)arts classes throughout  day one and a different combination of four(4) classes in day two.

Students may pick their top four (4) class choices. The Institute cannot guarantee that students will be placed in all of their chosen classes, but will try to place students in their top 2 choices. ALL class selections are final.  




If you have selected an instrument for any of the choices, please indicate playing level below.


YOUNG CHEF CLASS CONSENT FORM 3rd- 11th Graders ONLY  

Students will have the opportunity to use kitchen utensils and equipment during the Institute of Music for Children’s cooking program. Students will learn about appropriate handling of food items and safe operation and use of the kitchen equipment and they will be supervised at all times. Parents should be aware, however, that participation involves using knives and other sharp utensils, and that children will be working with and in close proximity to large kitchen equipment and hot items.  Classes may also involve handling of raw food items.  Although every precaution is taken to prevent accidents, a certain risk is involved due to the nature of the experience, the age of the student, and the learning environment.





3RD - 11TH GRADER CLASS SELECTION  

STUDENT 5 BELOW

MORNING CLASSES 

Select only your top four(4) classes in order of preference 

8:00 am - 12:20 pm 
Students class schedules are based on a Day One & Day Two schedule. Students participate in four (4)arts classes throughout  day one and a different combination of four(4) classes in day two.

Students may pick their top four (4) class choices. The Institute cannot guarantee that students will be placed in all of their chosen classes, but will try to place students in their top 2 choices. ALL class selections are final.  




If you have selected an instrument for any of the choices, please indicate playing level below.


YOUNG CHEF CLASS CONSENT FORM 3rd- 11th Graders ONLY  

Students will have the opportunity to use kitchen utensils and equipment during the Institute of Music for Children’s cooking program. Students will learn about appropriate handling of food items and safe operation and use of the kitchen equipment and they will be supervised at all times. Parents should be aware, however, that participation involves using knives and other sharp utensils, and that children will be working with and in close proximity to large kitchen equipment and hot items.  Classes may also involve handling of raw food items.  Although every precaution is taken to prevent accidents, a certain risk is involved due to the nature of the experience, the age of the student, and the learning environment.





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PRODUCTION  STUDENT

PRODUCTION REHEARSALS 

         1:20 - 3:00 PM


           

ATTENDANCE IS VERY IMPORTANT


Select your 1st & 2nd choice class    Example: Dance (1st choice)  Acting (2nd choice)

Students will only get 1 selection


MANDATORY
If students must commit to attending the at least the last 3 weeks of camp AND both Performances

(August 2nd&3rd) 



 
If your choice was Band, please list instrument(s) 


PRODUCTION  STUDENT

STUDENT 2 BELOW

PRODUCTION REHEARSALS 

         1:20 - 3:00 PM


           

ATTENDANCE IS VERY IMPORTANT


Select your 1st & 2nd choice class    Example: Dance (1st choice)  Acting (2nd choice)

Students will only get 1 selection


MANDATORY
If students must commit to attending the at least the last 3 weeks of camp AND both Performances

(August 2nd&3rd) 



 
If your choice was Band, please list instrument(s) 


PRODUCTION  STUDENT

STUDENT 3 BELOW

PRODUCTION REHEARSALS 

         1:20 - 3:00 PM


           

ATTENDANCE IS VERY IMPORTANT


Select your 1st & 2nd choice class    Example: Dance (1st choice)  Acting (2nd choice)

Students will only get 1 selection


MANDATORY
If students must commit to attending the at least the last 3 weeks of camp AND both Performances

(August 2nd&3rd) 



 
If your choice was Band, please list instrument(s) 


PRODUCTION  STUDENT

STUDENT 4 BELOW

PRODUCTION REHEARSALS 

         1:20 - 3:00 PM


           

ATTENDANCE IS VERY IMPORTANT


Select your 1st & 2nd choice class    Example: Dance (1st choice)  Acting (2nd choice)

Students will only get 1 selection


MANDATORY
If students must commit to attending the at least the last 3 weeks of camp AND both Performances

(August 2nd&3rd) 



 
If your choice was Band, please list instrument(s) 


PRODUCTION  STUDENT

STUDENT 5 BELOW

PRODUCTION REHEARSALS 

         1:20 - 3:00 PM


           

ATTENDANCE IS VERY IMPORTANT


Select your 1st & 2nd choice class    Example: Dance (1st choice)  Acting (2nd choice)

Students will only get 1 selection


MANDATORY
If students must commit to attending the at least the last 3 weeks of camp AND both Performances

(August 2nd&3rd) 



 
If your choice was Band, please list instrument(s) 


Page 5

RECREATION SESSIONS STUDENT
Trips are subject to change. Other trips may be added during summer.





TRAVEL PERMISSION STUDENT#1

I hereby give permission for my child to travel by van with The Institute of Music for Children on designated trips as part of summer camp.

 

Permission to travel is given from July 2 through August 3, 2018.

 

In granting permission, I hereby expressly waive my claim for liability against The Institute of Music for Children, Inc. including its employees and representatives and release them from liability in connection with this trip. Further, I assume full responsibility for any damage to persons and/or property caused by the student.






RECREATION SESSIONS STUDENT
Trips are subject to change. Other trips may be added during summer.

STUDENT 2 BELOW






TRAVEL PERMISSION STUDENT#1

I hereby give permission for my child to travel by van with The Institute of Music for Children on designated trips as part of summer camp.

 

Permission to travel is given from July 2 through August 3, 2018.

 

In granting permission, I hereby expressly waive my claim for liability against The Institute of Music for Children, Inc. including its employees and representatives and release them from liability in connection with this trip. Further, I assume full responsibility for any damage to persons and/or property caused by the student.






RECREATION SESSIONS STUDENT
Trips are subject to change. Other trips may be added during summer.

STUDENT 3 BELOW






TRAVEL PERMISSION STUDENT#1

I hereby give permission for my child to travel by van with The Institute of Music for Children on designated trips as part of summer camp.

 

Permission to travel is given from July 2 through August 3, 2018.

 

In granting permission, I hereby expressly waive my claim for liability against The Institute of Music for Children, Inc. including its employees and representatives and release them from liability in connection with this trip. Further, I assume full responsibility for any damage to persons and/or property caused by the student.






RECREATION SESSIONS STUDENT
Trips are subject to change. Other trips may be added during summer.

STUDENT 4 BELOW






TRAVEL PERMISSION STUDENT#1

I hereby give permission for my child to travel by van with The Institute of Music for Children on designated trips as part of summer camp.

 

Permission to travel is given from July 2 through August 3, 2018.

 

In granting permission, I hereby expressly waive my claim for liability against The Institute of Music for Children, Inc. including its employees and representatives and release them from liability in connection with this trip. Further, I assume full responsibility for any damage to persons and/or property caused by the student.






RECREATION SESSIONS STUDENT
Trips are subject to change. Other trips may be added during summer.

STUDENT 5 BELOW






TRAVEL PERMISSION STUDENT#1

I hereby give permission for my child to travel by van with The Institute of Music for Children on designated trips as part of summer camp.

 

Permission to travel is given from July 2 through August 3, 2018.

 

In granting permission, I hereby expressly waive my claim for liability against The Institute of Music for Children, Inc. including its employees and representatives and release them from liability in connection with this trip. Further, I assume full responsibility for any damage to persons and/or property caused by the student.






Page 6

DEMOGRAPHIC INFORMATION 











STUDENT DEMOGRAPHIC INFORMATION PER EACH REGISTRATION







For additional student please select "Add another response"

Page 7

PAYMENT AGREEMENT

Summer Camp 2019

PP2019
 YOU HAVE  SELECTED PAID IN FULL TODAY

 Payments with CASH or CHECK must be received within seven days after your registration has been confirmed.
PAYMENT PLAN

Tuition payments can be paid in full or can be split into 3 installments (Costs vary depending on programs). A minimum of 1/3 of the total cost is within the 1st week of your registration.

 

 First must be paid (see chart below for Amount Due for 1st Payment**)

Payments may be made in a series of 3 installments throughout the Summer Institute.

 

o   Payment 1 is due within a week of registration. (See chart - Amount Due for 1st Payment)

o   Payment 2 is due by July 5th.

o   Payment 3 (final payment) is due by July 19th. (no exceptions)



 If not paying in full, we require a payment security with a valid credit or debit card. If we do not receive payment within 7 days of the payment due date your card will be charged the installment due plus a $25 late fee.   

 

PAYMENT INFORMATION 







I WOULD LIKE TO SIGN FOR AUTOMATIC PAYMENTS? 


PLEASE BE SURE TO SUBMIT ONLY ONCE SO YOUR CC WILL BE CHARGED ONE TIME.