New Mexico School of Music — 2008 Summer Camp Application Form
Toddler Tunes
(16 mo. - 3 years)
Mon. & Thurs.
11:15 AM - 11:45 AM
June 16-19 ____
July 7-10 ____
July 21-24 ____
Hello Music
(3 - 4 years)
Mon. & Thurs.
12:00 - 12:45 PM
June 16-19 ____
July 21-24 ____
Musictime
(4 - 6 years)
Mon. & Thurs.
1:00 - 1:45 PM
June 16-19 ____
July 21-24 ____
Junior Music Camp
(4 - 6 years)
Monday - Friday
9:00 - 11:00 AM
June 16-20 ____
July 21-25 ____
Music Day Camp
(7-13 years)
Monday - Friday
9:00 AM - 1:00 PM
June 23-27 ____
July 28-Aug 1 ____
Rock’n Roll Camp
(11-18 years)
Monday - Friday
9:00 AM - 1:00 PM
July 14-18 ____
Flute Choir
(Beg/Intermediate)
Monday - Friday
1:00 PM - 3:00 PM
June 23 - 27 ____
July 28 - Aug 1 ____
Flute Choir
(Advanced)
Monday - Friday
1:00 PM - 3:00 PM
June 23 - 27 ____
July 28 - Aug 1 ____
Piano Camp
Monday - Friday
9:00 AM - 1:00 PM
August 4 - 8 ____
Student’s Name: __________________________________________
Current Age: _______ DOB: _______________
School (Fall 2008): _________________________________________
Parent/Guardian Name(s): ____________________________________
Address: ________________________________________
City: _________________________ State: ______ ZIP: __________
Home Phone: _________________ Work Phone: __________________
Cell Phone: _________________
E-mail: _____________________________________________________
Emergency Contact (Name & Phone):
____________________________________________________________
Care of Students:
The School is not responsible for providing before or after summer program care for students. Students are not to be left at the school for an excessive amount of time (15 minutes or more) before or after classes. All camp students (Music Day Camp, Rock 'n Roll, Broadway Singers, and Piano Camp) need to bring a sack lunch each day (please no hot lunches). Lunch is not provided by the School.
Initial: _______
Injuries:
Parents or legal guardians of campers waive the right to any legal action for any injury sustained on school property resulting from normal camp activity or any other activity conducted by the camper before, during or after camp section time.
Initial: _______
Camp Behavior:
The School reserves the right to dismiss any student at any time for behavior that it regards as inappropriate or dangerous toward other students, teachers, staff, equipment or facilities of the New Mexico School of Music. There are no refunds for early dismissals from the School.
Initial: _______
Photo Release:
The School is hereby granted permission to take photographs of the campers to use in brochures, web-sites, posters, advertisements, and other promotional materials necessary for the operation of the school. Permission is also hereby granted for the school to copyright such photographs in its name.
Initial: _______
Payment Information:
Prices do not include sales tax. No refunds will be given, except in cases of severe illness. For individual students who have not previously registered at NMSM, there is a registration fee of $15 to enroll in Summer Classes. Family registration, for two or more students, is $20. Family discounts are available; please call (505) 266-3474 for more details. Please make payments to New Mexico School of Music, 310 Washington SE Albuquerque, NM 87108
I have read and understood the above policies and agree to abide by them. NMSM will provide a copy of this document upon registration.
Student Name (please print) Signature of Parent/Guardian Date
OFFICE USE ONLY: Registration fee __________($15 for new students; $20 for new families)
Amount paid $_______________ Check #_______________ Cash _____________ CC ____________________________
Date Rec'd _________________ Initials ________________
Notes: ________________________________________________________________________________
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