Bard Music Camp 2022 - Full Day Program

Application for FULL DAY PROGRAM
Monday July 4 to Saturday, July 16, 2022

* Indicates required field
Name Name First Last
Date Of Birth Date Of Birth / MM / DD YYYY
Gender
Grade in School (in Fall 2022)
School Name
PARENT/GUARDIAN INFORMATION
1. Name (Mr. Mrs. Dr. Ms.)
Cell Phone for Parent/Guardian #1 Cell Phone for Parent/Guardian #1 - ### - ### ####
Home Phone Home Phone - ### - ### ####
Email for Parent/Guardian #1
Relationship to Student
2. Name (Mr. Mrs. Dr. Ms.)
Cell Phone for Parent/Guardian #2 Cell Phone for Parent/Guardian #2 - ### - ### ####
Home Phone Home Phone - ### - ### ####
Email for Parent/Guardian #2
Relationship to Student
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency contact #1 (other than parent): Emergency contact #1 (other than parent): First Last
Emergency contact #1 phone Emergency contact #1 phone - ### - ### ####
Emergency contact #2 (other than parent): Emergency contact #2 (other than parent): First Last
Emergency contact #2 phone Emergency contact #2 phone - ### - ### ####
PRIVATE INSTRUCTIONS AVAILABLE FOR:

ALL AGES:
Piano, Violin, Viola, Cello, Double Bass, Guitar, Voice, Flute, Clarinet, Trombone, Percussion, Composition
Registering for:
Primary Instrument (please only list if studying at the Camp):
Yrs of study:
Current and Previous Teacher (of primary instrument)
Secondary Instrument (please only list if studying at the Camp):
Yrs of study:
Current and Previous Teacher (of secondary instrument)
Additional Instrument (please only list if studying at the Camp):
Yrs of study:
Current and Previous Teacher (of additional instrument)
CAMP T-SHIRTS:
Please Indicate Student T-shirt size:

Please Indicate Student T-shirt size: Kids Size EXTRA SMALL Adult Size EXTRA SMALL Kids Size SMALL Adult Size SMALL Kids Size MEDIUM Adult Size MEDIUM Kids Size LARGE Adult Size LARGE Kids Size EXTRA LARGE Adult Size EXTRA LARGE
WEEK 1 FULL DAY PROGRAM AGES 5 - 10 (please check all that apply)
Monday, July 4 to Saturday, July 9, 2022

WEEK 1 FULL DAY PROGRAM AGES 5 - 10 (please check all that apply)
Monday, July 4 to Saturday, July 9, 2022 Full Day: July 4 to 9 -- $675 Secondary Instrument -- $250 Additional Instrument -- $250
WEEK 2 FULL DAY PROGRAM AGES 10 - 18 (please check all that apply)
Monday, July 11 to Saturday, July 16, 2022

WEEK 2 FULL DAY PROGRAM AGES 10 - 18 (please check all that apply)
Monday, July 11 to Saturday, July 16, 2022 Full Day: July 11 to 16 -- $675 Secondary Instrument -- $250 Additional Instrument -- $250
DISCOUNTS

DISCOUNTS 10% Bard Employee Discount (applied to tuition only; not including fees)
FEES

FEES $25 Registration Fee per Family (waived for current Prep Spring 2022 students & siblings) $25 Late Fee (if Registered after May 14)
AN INVOICE WILL BE EMAILED TO YOU AFTER WE RECEIVE YOUR COMPLETED REGISTRATION FORM

The online Medical Release Form can be found on the camp applying page:

https://www.bard.edu/conservatory/preparatory/summercamp/admission/

or will be emailed to you, along with the invoice.

DEADLINE: May 14, 2022
TUITION TOTAL $ Dollars . Cents
ACCEPTING CREDIT CARD PAYMENTS ONLY
(no check payments)
For Credit Card Form, please download from
www.bard.edu/conservatory/preparatory/admission/
or
Email us at: [email protected]
To submit payment, you can either:

EMAIL US the completed credit card authorization form
or
Contact Bard Prep assistant Ivy Loo at (845) 853-4103 with credit card information.

PLEASE DO NOT MAIL IN PAYMENT

We cannot guarantee a spot until your registration is complete.
Registration will only be considered complete once we receive the registration form and tuition payment in full.
NOTES:
Policies and Procedure
VACCINATION FOR COVID-19: Please note that all campers MUST be fully vaccinated for COVID-19, in order to participate at Bard Music Camp. Proof of vaccination card may be uploaded on the Medical Release Form. WITHDRAWAL AND REFUND POLICY Tuition refunds will be given at the following rates: • Before May 14, 2022, students will receive a FULL refund (minus the application fee) • From May 14 to June 11 students will receive a 50% tuition refund • After June 11, NO REFUNDS will be given *Please Note: Application Fee is not Refundable at any time of withdrawal. If you wish to withdraw, you must notify the Camp directors by email at bardprep@bard.edu. The effective date of withdrawal is the date that the written notice is received. Students receiving financial aid forfeit their aid upon withdrawal. STUDENT ILLNESS To avoid the spread of illness and infection, we ask that students avoid coming to Bard Music Camp with the following symptoms: Fever, diarrhea, or vomiting in the previous 24-hour period Extreme coughing Impetigo Conjunctivitis (pink eye) Chicken pox - until all lesions have dried and crusted Strep Throat - until at least 24 hours of treatment Infection with head lice, scabies, or pinworms - until at least 24 hours of treatment Skin rashes Measles, mumps, rubella, pertussis, hib, and tuberculosis If students come to Bard Music Camp with signs of the above illnesses or other potentially contagious conditions, we reserve the right to refuse their participation for that day. PHOTO RELEASE By enrolling in Bard Music Camp, the student or parent/guardian (for students under 18) authorizes the making and use of any photos, videos or sound recordings during his/her participation in classes, lessons, or performances for any purpose without compensation to the student or parent/guardian.
Please Check (required)

Please Check (required) I have read and agree to the policies and procedures My child is/will be fully vaccinated by the first day of camp (for students age 5 and older)

Bard Music Camp 2022 - Full Day Program

Bard Music Camp 2022 - Full Day Program

* Indicates required field

PARENT/GUARDIAN INFORMATION

PRIVATE INSTRUCTIONS AVAILABLE FOR:

Registering for:

CAMP T-SHIRTS:

AN INVOICE WILL BE EMAILED TO YOU AFTER WE RECEIVE YOUR COMPLETED REGISTRATION FORM The online Medical Release Form can be found on the camp applying page: https://www.bard.edu/conservatory/preparatory/summercamp/admission/ or will be emailed to you, along with the invoice. DEADLINE: May 14, 2022

ACCEPTING CREDIT CARD PAYMENTS ONLY (no check payments)

For Credit Card Form, please download from www.bard.edu/conservatory/preparatory/admission/ or Email us at: [email protected]

To submit payment, you can either: EMAIL US the completed credit card authorization form or Contact Bard Prep assistant Ivy Loo at (845) 853-4103 with credit card information. PLEASE DO NOT MAIL IN PAYMENT

ACCEPTING CREDIT CARD PAYMENTS ONLY
(no check payments)

For Credit Card Form, please download from
www.bard.edu/conservatory/preparatory/admission/
or
Email us at: [email protected]

To submit payment, you can either:

EMAIL US the completed credit card authorization form
or
Contact Bard Prep assistant Ivy Loo at (845) 853-4103 with credit card information.

PLEASE DO NOT MAIL IN PAYMENT