JumpStart in Music Registration

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Session Information


Please double check that you are registering for the correct JumpStart and mark your calendar with the dates.
Sonoma Families

Registration for the Sonoma Fall JumpStart is now closed for campers and mentors. Chaperones can still register using this form.

Chaperone Information

Thank you for volunteering to chaperone for your school's JumpStart weekend. We want to let you know right away that all adults need to be fingerprinted before coming up to Caz

 

Live Scan fingerprinting is available at many facilities throughout the Bay Area. Please bring a printed copy of our LiveScan form along with a photo ID, and allow up to an hour for processing.  You must use the LiveScan form provided by Cazadero in order for us to be able to review your results.  Please schedule the scan at least 1 week prior to your JumpStart weekend.


Call us at 510-527-7500 if you have any questions.

Albany Families

Albany JumpStart families, your JumpStart fees will be collected by your music teacher on behalf of the Albany School District. There is only donation information on this form.

Participant Information

For camp lists



If your camper has a legal name that is different from their chosen name listed above please provide it here in case of emergency; we will keep this confidential.



Use the health section for further explanation.





First and Last







Primary Parent / Guardian Contact Information


















If the camper has more than one parent/guardian, please provide their information on this form.
Click "Add another parent/guardian contact" below if their information isn't already on this form.

Additional Parent / Guardian Information


















Please double check that all of your contact information entered above is correct. We need to be able to email and call you.

JumpStart Registration Details





Cost and Financial Aid

JumpStart in Music is a comprehensive fieldtrip that includes meals, sleeping arrangements, camp staff, teaching staff, transportation to camp, and a JumpStart t-shirt. The cost to run this program is $165.00 per camper and $40.00 per mentor. If you can afford to, please pay to cover the cost of your camper and consider a donation to help cover the costs for others. 


Please don’t be discouraged if you cannot afford the full amount; pay what you can afford. We are committed to ensuring that campers can attend regardless of their financial circumstances. 




Program Total
$
$
$
$
$
*Thank you for supporting Cazadero, a 501(c)3 non-profit organization. Your donation supports scholarships for JumpStart in Music.
Payment

Make checks payable to Cazadero Music Camp. WRITE THE NAME OF YOUR CHILD ON THE CHECK.
Checks should be mailed to: PO Box 7908 Berkeley, CA 94707 within two weeks of registration.
Credit Card Information
$






Health and Safety Information














Food: Allergies and Dietary Proscriptions




If there are no health concerns that camp needs to be aware of, write "none" or "NA".

If your camper takes no medications then write "none" or "NA".

Please type your first and last name.

Policies
Terms and Conditions
Please scroll to see the full policy
If accepted to Cazadero Music Camp, I agree to follow the Camp’s rules and regulations. I understand that violation of camp rules and regulations or failure to disclose pertinent medical or psychological information may result in expulsion from the camp, and forfeiture of any fees paid. Cazadero has a zero-tolerance policy regarding alcohol, illegal drugs, theft, weapons, and vandalism. Campers found in violation of this policy will be sent home immediately and unconditionally. 

I understand that photographs may be taken during camp activities and I authorize Cazadero Performing Arts Camp to use these photographs for promotional materials. I also understand that by providing my e-mail address I may receive updates and information from Cazadero and that my address will not be shared or sold. 

I understand that acceptance to camp may be denied due to Cazadero Music Camp’s inability to accommodate certain conditions, including but not limited to camp capacity, instrumentation requirements, musical aptitude, or behavioral concerns. I understand that schedules are subject to change. 

Liability Waiver
Cazadero Performing Arts Camp offers a wonderful experience to its participants, teaching them a great deal about themselves and the world around them. Part of the magic is that the activities take place in the outdoors and all campers are invited to actively participate. Obviously, with these activities comes some risk. Our purpose in this disclosure is not to worry you, but to point out that there are risks connected with the fun, excitement, and adventure of a camp experience.
Please scroll to see the full waiver

IMPORTANT: READ THIS DOCUMENT CAREFULLY BEFORE SIGNING. THIS IS A LEGALLY BINDING DOCUMENT. IT IS UNDERSTOOD THAT THIS FULLY SIGNED FORM MUST BE SUBMITTED TO CAZADERO PERFORMING ARTS CAMP, INC. BEFORE ANY PARTICIPANT IS ALLOWED TO TAKE PART IN ANY CAMP ACTIVITY.


Cazadero Performing Arts Camp, Inc. (CazPAC), a California non-profit corporation with offices located in Berkeley, California, is the producer of a performing arts camp (Camp) located in Cazadero, California. In running the Camp, CazPAC, Inc. has contracted to provide the Camp facility, staff, faculty, food and maintenance services for the Camp. As consideration for, and as an express requirement of participation in Camp activities, we require, and are materially relying on the requirement that the participant understand and agree to a waiver of any and all claims they might have against CazPAC, Inc., its officers, directors, employees, agents, independent contractors and other representatives, as well as agree to be bound by other terms and conditions stated in this Waiver. As this is a binding legal document, you should read this document carefully before signing.


By signing this Waiver, and to the extent permitted by law, you waive any and all claims for damages for death, personal injury, loss or property damage which you may have or which may hereafter accrue to you or your child against CazPAC, its officers, directors, employees, agents, independent contractors and other representatives (hereinafter referred to jointly and severally as “CazPAC”) as a result of your or your child’s participation in the Camp, and as related to the nature, type or condition of the events involved, and/or with respect to the condition of the sites involved, and/or with respect to the supervision provided, and/or with respect to the activities performed, whether or not caused by the negligence (active or passive) of CazPAC.


This Waiver is signed in order for you or your child to participate in this activity for his or her own personal enjoyment and benefit and is done so freely with full knowledge of the risk and dangers incident thereto. It is acknowledged that the Participant will be living in an outdoor, rustic camp facility with the inherent dangers and risks associated with camp activities, which include, but are not limited to: swimming, diving, hiking, wading, climbing, basketball, softball, and volleyball. By signing this agreement, you further acknowledge that you agree to assume and bear sole responsibility for these dangers and risks and to absolve and hold harmless CazPAC from any and all risks of any nature and kind associated with camp activities.


You also agree to indemnify, defend, and hold CazPAC free and harmless from any and all expenses, demands, claims, costs, losses, damages, recoveries, settlements, and expenses (including but not limited to interest, penalties, attorney’s fees, expert witness fees, costs, and other expenses) of any nature or kind which are incurred by the indemnity (“losses”), known or unknown, contingent or otherwise, directly or indirectly arising from or related to Participants participation in Camp activities.


No refund or adjustment is made, and no prior notice is made, if CazPAC changes its program by adding, altering, or deleting activities as deemed necessary by the Camp Director.


It is also understood and agreed that CazPAC has made no promise or pledge, express or implied, to provide any special facilities or services to those with any medical problems, health problems, or physical disabilities, including but not limited to accommodation of special diets, other than as expressly set forth in the Health History and Examination Form (for CazPAC programs), and which CazPAC, in its sole discretion, predetermines it can reasonably provide based solely upon the information and Camper’s history provided in said Health History and Examination Form, and the inherent limitations of Camp staff and facilities.


Further, you understand and agree that, for the safety and comfort of everyone, the Camp is a non-smoking camp, except in designated areas, and is in conformance with all applicable laws governing drug use, alcohol use by minors, environmental protection, health, and safety. Rules established to protect the property, privacy and safety of the Camp, Campers, and CazPAC will be enforced. Participants willful violation of Camp rules can lead to dismissal from Camp. CazPAC reserves the right to dismiss or remove Participants for misbehavior at any time. You acknowledge that if Participant is dismissed or otherwise removed from the Camp they will be completely responsible for making arrangements for transportation, and that CazPAC shall make no refunds of any funds paid in association with this Camp.


You agree that CazPAC, Inc. may use any pictures, videos, or sound recordings taken of Participant during camp time.


This agreement hereby incorporates by reference in their entirety as if fully set forth herein, the Participants Camper Registration Form or the Health History and Examination Form. To the extent there are any conflicting terms and conditions in the incorporated agreements hereto, this Participation Liability Waiver shall control and supersede any such provisions. This agreement shall represent the full and complete agreement between the parties, and any modification of the terms set forth herein shall be effective only if in writing and signed by all parties hereto.


The parties to this agreement stipulate that this agreement shall be considered to have been entered into in Berkeley, California, and that any interpretation of the terms of this agreement shall be made under California law, without respect to its conflict of laws provisions. I certify that I have read this document and that I understand and agree to all of the foregoing information, terms, and conditions.


Please type your first and last name.

Optional Diversity Information
Cazadero Music Camp works hard to attract and maintain a diverse and varied camp population. Donors and foundations typically ask for this information to be included in any fundraising appeal that we submit. Please help us to gather these vital details by filling out this simple form that we have devised. We will keep this information anonymous.


Before you hit submit:

Please double check that all of your contact information is correctWe need to be able to email and call you.

Please double check you are registering for the correct JumpStart and mark your calendar with the dates.

Thank you!
Questions? Ask your school music teacher, or call the Cazadero office at 510.527.7500