Bard Music Camp 2023 - Full Day Program

Application for FULL DAY PROGRAM
Monday July 3 to Saturday, July 15, 2023
Registration Deadline: May 13, 2023
Early Registration Deadline: April 1st, 2023 (Registration fee is waived)

* Indicates required field
Name Name First Last
Date Of Birth Date Of Birth / MM / DD YYYY
Gender
Grade in School (in Fall 2023)
School Name (currently attending)
School Name (attending in Fall 2023, if different from current school)
Music Programs (current and past) and Dates
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
OPTIONAL: Student's Email
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, Saxophone, Trumpet, Trombone, Euphonium, Percussion, Composition
ACCEPTING LATE REGISTRATION ONLY FOR THE FOLLOWING INSTRUMENTS:

Week of July 3:
Cello, Double Bass, Guitar

Week of July 10:
Cello, Double Bass, Euphonium, Flute, Guitar, Trumpet, Trombone
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 list only if studying at Bard Music Camp):
Yrs of study:
Current and Previous Teacher (of additional instrument)
MEDICAL INFORMATION:
Please list any known allergies:
Please list other Pertinent Medical Information:
Primary Care Physician Name:
Primary Care Physician Phone Number: Primary Care Physician Phone Number: - ### - ### ####
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 3 to Saturday, July 8, 2023

WEEK 1 FULL DAY PROGRAM AGES 5 - 10 (please check all that apply)
Monday, July 3 to Saturday, July 8, 2023 Full Day: July 3 to 8 -- $700 Secondary Instrument -- $270 Additional Instrument -- $270
WEEK 2 FULL DAY PROGRAM AGES 10 - 18 (please check all that apply)
Monday, July 10 to Saturday, July 15, 2023

WEEK 2 FULL DAY PROGRAM AGES 10 - 18 (please check all that apply)
Monday, July 10 to Saturday, July 15, 2023 Full Day: July 10 to 15 -- $700 Secondary Instrument -- $270 Additional Instrument -- $270
For Week 2 Pianists ONLY (week of July 10):

For Week 2 Pianists ONLY (week of July 10): PLEASE CHECK HERE if you would like your child to be considered for the Advanced Piano Program. There is no additional tuition charge for this program.
DISCOUNTS

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

FEES $30 Registration Fee per Family (waived for current Prep Spring 2023 students & siblings) $30 Late Fee (if Registered after May 13)
AN INVOICE WILL BE EMAILED TO YOU AFTER WE RECEIVE YOUR COMPLETED REGISTRATION FORM

DEADLINE: May 13, 2023
ACCEPTING PAYPAL OR CREDIT CARD PAYMENTS ONLY
(no check payments - 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.
PayPal link and Credit Card Form can be found at:
www.bard.edu/conservatory/preparatory/admission/
or
Email us at: [email protected]
To submit Credit Card payment, you can either:

EMAIL US the completed credit card authorization form
or
Contact Camp Directors Susanne at (646) 456-8795 or Ryan at (615) 498-4996 with credit card information.

PLEASE DO NOT MAIL IN PAYMENT
NOTES:
Medical Release - Please Read and Check (required):

Medical Release - Please Read and Check (required): I hereby authorize (his or her) participation in the Bard Music Camp at Bard College for July 2023. I further release Bard College, its directors, officers, employees, students, agents, representatives or affiliates, from any and all liability caused in whole or in part by anyone affiliated with Bard College or from any other cause whatsoever, which results in bodily injury or personal injury suffered by above named minor participant and for any loss or loss of use or damage to personal property owned by said participant or family member, or any other damage or injury, which may result due to the above named minor’s visit or use of Bard College facilities during this activity. I further understand that all Bard College employees including faculty, staff and volunteers involved in said visitation will exercise reasonable care and act responsibly while conducting activities of said visitation. I further understand that Bard College does not provide Health Insurance for students during their participation in the Bard Music Camp. Health Insurance is the sole responsibility of the child’s parent(s) or guardian(s).
Policies and Procedure: Please Read and Check (required):

Policies and Procedure: Please Read and Check (required): WITHDRAWAL AND REFUND POLICY Tuition refunds will be given at the following rates: • Before May 13, 2023, students will receive a FULL refund (minus the application fee) • From May 13 to June 10 students will receive a 50% tuition refund • After June 10, 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 [email protected]. 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.

Bard Music Camp 2023 - Full Day Program

Bard Music Camp 2023 - Full Day Program

* Indicates required field

PARENT/GUARDIAN INFORMATION

PRIVATE INSTRUCTIONS AVAILABLE FOR:

ACCEPTING LATE REGISTRATION ONLY FOR THE FOLLOWING INSTRUMENTS:

Registering for:

MEDICAL INFORMATION:

CAMP T-SHIRTS:

AN INVOICE WILL BE EMAILED TO YOU AFTER WE RECEIVE YOUR COMPLETED REGISTRATION FORM DEADLINE: May 13, 2023

ACCEPTING PAYPAL OR CREDIT CARD PAYMENTS ONLY (no check payments - please do not mail in payment)

PayPal link and Credit Card Form can be found at: www.bard.edu/conservatory/preparatory/admission/ or Email us at: [email protected]

To submit Credit Card payment, you can either: EMAIL US the completed credit card authorization form or Contact Camp Directors Susanne at (646) 456-8795 or Ryan at (615) 498-4996 with credit card information. PLEASE DO NOT MAIL IN PAYMENT

AN INVOICE WILL BE EMAILED TO YOU AFTER WE RECEIVE YOUR COMPLETED REGISTRATION FORM

DEADLINE: May 13, 2023

ACCEPTING PAYPAL OR CREDIT CARD PAYMENTS ONLY
(no check payments - please do not mail in payment)

PayPal link and Credit Card Form can be found at:
www.bard.edu/conservatory/preparatory/admission/
or
Email us at: [email protected]

To submit Credit Card payment, you can either:

EMAIL US the completed credit card authorization form
or
Contact Camp Directors Susanne at (646) 456-8795 or Ryan at (615) 498-4996 with credit card information.

PLEASE DO NOT MAIL IN PAYMENT