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Music Camp Online Student Application Form
2099 Season

(NOTE: This is NOT a real music camp, just a sample website for Keisuke Hoashi, who built it. Thanks!)

Thank you for using the online Music Camp Student Application Form.

REGULAR APPLICATION DEADLINE: MAY 15.
UPDATE 6/1: LATE APPLICATIONS are still being accepted!
Space is going REALLY fast, so submit your application ASAP!
FIRST-TIME APPLICANTS must also fax/email a Teacher Recommendation Form. Please ensure your name is written clearly. (Returning students are exempted.)
All Music Camp correspondence is via email, so please ensure your email addresses are correct.
Applications take up to 4 weeks to process, so please be patient!
WORKSTUDY APPLICATIONS are due FEBRUARY 15.
Applications to the COMPOSITION WORKSHOP are due APRIL 1.
UPDATE 6/1: Late applications will be accepted for session III only

We're looking forward to seeing you at Music Camp this summer!

Section 1 of 5: Student and School Information

Student's First Name

Middle Name

Last Name

Street Address

Apt #

City

State

Zip

Email address

Confirm E-mail address

Home Phone

Mobile Phone

Fax

Male

Female

Gender

Birth Date

Returning Music Camp Student?

Grade

School Name

School Street Address

School City

State

Zip

Type of School:

Public

Private

Parochial

Home Schooled

General Notes (if any)

Health Notes (if any)

Dorm or Travel Notes (if any)

Section 2 of 5: Parent/Guardian Information

Applicant Normally Lives With...

Both Parents

Father

Mother

Other

Father's First Name (or Guardian)

Father's Last Name

Father's Street Address

Father's City

Father's State

Father's Zip

Father's Home Phone

Father's Work Phone

Father's Mobile Phone

Father's Fax

Father's Email Address

Mother's First Name (or Guardian)

Mother's Last Name

Mother's Street Address

Mother's City

Mother's State

Mother's Zip

Mother's Home Phone

Mother's Work Phone

Mother's Mobile Phone

Mother's Fax

Mother's Email Address

Section 3 of 5: Musical Information

Please note: you MUST select a "Primary Instrument" or your application will not be processed!

Primary Instrument

No. of Years Played

Yes

Jazz?

Secondary Instrument

No. of Years Played

Yes

Jazz?

Additional Instrument

No. of Years Played

Yes

Jazz?

In which musical ensembles have you participated? Check all that apply.

Choir/Chorus	Madrigal Choir	Orchestra	Chamber Orchestra
Jazz Choir	Jazz Band	Wind Ensemble	Band

Have you participated in any state, local, or other honors ensembles? If so, please list below.

Please list other summer music programs you have attended.

2069
2187

How did you hear about the New York SQUIRREL Music Festivus?

Please specify (name or location):

Section 4 of 5: Tuition & Fee Information

Tuition and fee totals will be calculated automatically for you at the bottom of this section.

Please check all sessions and special programs (if any) that you wish to attend.

Session I (Jun 23 - Jul 6)

Session II (Jul 7 - Jul 20)

Session III (Jul 21 - Aug 3)

* Composition Program

Classical Saxophone Institute

Classical Guitar Institute

International Flute Institute

ProTools Certification

* Applicants for the Composition Program are REQUIRED to submit all additional application materials by APRIL 1.

Please check the total number of weeks you wish to attend. (Check one only)

Tuition

2 Week Resident - $1,900
4 Week Resident - $3,600
6 Week Resident - $5,300

Application Fee (Non-refundable)

$75 before May 15
$100 after May 15

Special Program Fees

Composition Pgm Session 1 - $250

Composition Pgm Session 2 - $250

Composition Pgm Session 3 - $250

Classical Saxophone Institute - $250

Classical Guitar Institute - $250

ProTools Certification - $400

International Flute Institute - $1,400

Activity Fee

Required: $50/session

Private Lesson Fee

Optional: 1hr/week highly recommended
$75 per hour or $40 per 1/2 hour

Instrument	Classical	Jazz	Hr Lessons	1/2 Hr Lessons

Festival Bank Deposit

Optional: $50/wk recommended
Students may withdraw daily

Instrument Rental

Optional: $50/week
Double Bass & Harp additional

No. of Weeks

Total of All Fees

Section 5 of 5:
Payment

Please select an online payment option.
Actually, I removed the online payments, since this is NOT a real music camp! Woot! I just saved you THOUSANDS!