Music Camps Registration

2018 Music Camps and Workshops Registration

Fill out the form below to register for one of the Academy's music camps/workshops.

Refund Policy: Written cancellations by June 1st, will receive a refund, minus $75. No refunds will be given after June 1st.

Registration for Camp/Workshop

Registration is closed

Showing Off Musical Theatre Workshop
Summer Chamber Music
Playing Together Piano Camp

I would like to register for *

Parent/Guardian Information

First and Last Name *

Home Address *

City *

State *

Zip Code *

Email Address *

This is the email address to which all camp-related email will be sent to. To ensure delivery of these messages, please add: acad_music@lawrence.edu to your email contact list.

Verify Email Address *

Preferred Phone Number *

Format ex. 9205551212

Home

Cell

Home or Cell *

Place of Employment

Work Phone Number

Format ex. 9205551212

Parent/Guardian Information

First and Last Name

Is the home address the same as above?

Home Address

City

State

Zip Code

Verify Email Address

Email Address

This is the email address to which all camp-related email will be sent to. To ensure delivery of these messages, please add: acad_music@lawrence.edu to your email contact list.

Preferred Phone Number

Format ex. 9205551212

Home

Cell

Home or Cell

Place of Employment

Work Phone Number

Format ex. 9205551212

Camper Information

First and Last Name *

Gender *

Male

Female

Birthdate *

Year

Month

Day

School (2018-19 academic school year) *

Grade (2018-19 academic year) *

Are you interested in performing a solo in the showcase performance? *

Instrument *

Emergency Contact

The emergency contact must be someone who is not the parent/guardian.

First and Last Name *

Relationship to Camper *

Phone number to be used in the event of an emergency *

Format ex. 9205551212

Repertoire Information

Most Current Solo Piece *

Current Scale Book *

Current Etude Book *

Past chamber ensemble repertoire *

Private or School Teacher Name *

Private or School Teacher Phone Number *

Format ex. 9205551212

Private or School Teacher Email *

Number of Years of Piano Lessons *

Most Current Repertoire *

Current Method Book *

Piano Teacher Name *

Piano Teacher Phone Number *

Format ex. 9205551212

Piano Teacher Email *

I learn piano music *

mostly by reading

mostly by listening

I learn piano music *

quickly

slowly

What is your ensemble experience? Have you played duets before? *

Comments on Repertoire

Doctor Information

Name of Physician or Clinic *

Physician's Phone Number *

Format ex. 9205551212

Name of Dentist *

Dentist's Phone Number *

Format ex. 9205551212

Name of Insurance Company *

Policy Number *

Policy Holder's Name *

Group Number *

Health Information

Date of last Tetanus shot *

Please list any allergies, medications, asthma, diabetes, epilepsy, seizures, etc. Please put N/A if there are no concerns *

Does your child have any learning or behavioral needs? *

Yes

If so, please list needs or accommodations: *

Assumption of Risk and Release of Liability

This document affects your legal rights - read it carefully.

I have applied to participate in the Lawrence Academy of Music program described as the 2018 Musical Theatre Workshop Beginning Broadway during the period July 23-27, 2018. I acknowledge that the Program is voluntary and may involve certain risks, including those described below.

I understand that the Program involves, among other activities, rehearsing, performing, engaging in recreation and, if applicable, traveling off campus and residing in student dormitories. I acknowledge that these activities present certain inherent risks beyond Lawrence University’s control.

I choose to participate in the Program understanding its associated risks, and I knowingly and voluntarily assume all risks of injury, illness, death or damage to or loss of my property that may occur while rehearsing, performing, traveling, engaging in recreation or any activities arising out of or related to the Program.

My participation in the Program is voluntary, and I understand that I may discontinue my participation at any time in light of the risks I am assuming.

I hereby forever release Lawrence University, its trustees, officers, employees, and agents (the “Released Parties”), from liability for any negligent act or omission arising from my participation in the Program, including related costs, damages, claims or assertions to which I or my family, estate, or heirs may claim against the Released Parties.

This Assumption of Risk and Release of Liability shall be construed in accordance with the laws of the State of Wisconsin, which shall be the forum for any lawsuits filed under or incident to this Release or the Program.

This document affects your legal rights - read it carefully.

I have applied to participate in the Lawrence Academy of Music program described as the 2018 Summer Chamber Music Camp during the period July 9-13, 2018. I acknowledge that the Program is voluntary and may involve certain risks, including those described below.

My participation in the Program is voluntary, and I understand that I may discontinue my participation at any time in light of the risks I am assuming.

This document affects your legal rights - read it carefully.

I have applied to participate in the Lawrence Academy of Music program described as the 2018 Playing Together Piano Camp during the period July 9-13, 2018. I acknowledge that the Program is voluntary and may involve certain risks, including those described below.

My participation in the Program is voluntary, and I understand that I may discontinue my participation at any time in light of the risks I am assuming.

This document affects your legal rights - read it carefully.

I have applied to participate in the Lawrence Academy of Music program described as the 2018 Musical Theatre Workshop Showing Off during the period June 25-29, 2018. I acknowledge that the Program is voluntary and may involve certain risks, including those described below.

My participation in the Program is voluntary, and I understand that I may discontinue my participation at any time in light of the risks I am assuming.

Academy Camp Guidelines

Please read the Academy Camp Guidelines.

By checking this box, I agree to follow all of the Academy Camp Guidelines and accept responsibility for all charges and fees that are incurred.

Camp Guidelines 3 *

How did you hear about Lawrence Academy of Music? *

CAPTCHA

This question is included to prevent automated spam submissions; it is not presented to logged-in users.

The institution will comply with Title VI of the Civil Rights Act and DPI's Nondiscrimination Provision for all students.

Sections

Facebook
Like Us!

2018 Music Camps and Workshops Registration

Registration is closed

The emergency contact must be someone who is not the parent/guardian.

This document affects your legal rights - read it carefully.

This document affects your legal rights - read it carefully.

This document affects your legal rights - read it carefully.

This document affects your legal rights - read it carefully.