Registration

To register for the Inspiration Point Piano Camp the following things must be completed:

Registration form
Send teacher recommendation
Medical form
Pay Camp Fees

Teacher Recommendation

Students must provide a signed and dated teacher recommendation to the following address:

ipmusiccamp@gmail.com

Complete medical form here

Make payments here

Registration Form

Student Information

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First Name

Last Name

Age

Sex(required)

Male

Female

Fall 2019 School Grade

Second Instrument

Student Cell phone

Student Email

Parent Name

Address

City

State

Zip

Home phone

Work phone

Cell phone

In Case of Emergency Contact

Emergency Contact Phone

Emergency Contact Email

Teacher

Length of study

Teacher's address

Teacher's City

Teacher's State

Teacher's Zip

Teacher's Phone

Have you studied music theory?(required)

Yes

Name, author, and level of theory book you are using

List three compositions that you will be prepared to perform. One work may be in progress. Include complete titles (including opus numbers).

Federated Music Festival

MTNA State Affiliated Festivals

Guild Auditions

Other festival (please name)

Roommate Preference

T-Shirt Size

General Release of Liability

Student's name

Parent's name

By signing below, I hereby agree and authorize the instructors, servants and agents (including parents of other members) of the String Coalition to use photos, videos and all other recordings of my child. I also realize there are risks involved in any program, and the instructors, servants and agents of the String Coalition will not be held responsible for accidents that may occur in association with my child’s participation in the String Coalition.

Parent Signature

By checking this box and typing my name below, I am electronically signing this release

My Waiver

I understand that my room, board, and tuition will be $450.00 for the week and the balance must be paid at or by the time of registration. I will abide by the rules of the camp or be sent home, forfeiting my fees.

I have agreed to submit this application by electronic means. By signing this application electronically, I certify that I have read and understand the appropriate Payment and Cancellation Policy.

I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

By checking this box and typing my name below, I am electronically signing my application

Student Signature