2019 Gilmore Piano Camp Information Form
This is a follow up form after you have registered your student(s) for Sherman Lake YMCA's Gilmore Piano Camp, June 23-28, 2019. Answers here help us properly schedule and place your student in camp groups, in addition to providing us with musical information regarding your student.
Basic Information
Camper First Name *
Your answer
Camper Last Name *
Your answer
Age *
Your answer
Gender or Gender Identity *
Parent name (First, last) *
Your answer
Parent email *
Your answer
Parent phone number *
Your answer
Piano Teacher Name (First, Last) *
Your answer
Piano Teacher email
Your answer
Piano Teacher phone number
Your answer
Music Information
How many years have you studied piano?
Your answer
What are the other instruments/voice you have studied?
Your answer
For how many years have you studied these other instruments/voice?
Your answer
What is your approximate piano level?
If you are using a methods book, a name and number will work, if not, you can simply list the title and composer of a piece you are currently working on.
Your answer
First elective preference (Overnight campers only)
Second elective preference (Overnight campers only)
Third elective preference (Overnight campers only)
T-Shirt information
At The Gilmore Piano Camp, we like to have everyone in a Gilmore Camp T-Shirt for the final recitals. ONE Gilmore Camp t-shirt is included with the cost of registration. Please use the questions below to VERIFY your student's t-shirt size. If you would like MORE THAN ONE t-shirt, you may select how many and what sizes you would like, at $15 a shirt, collected at Camp sign-in in July.
Please confirm the quantity of Gilmore Camp T-shirts you would like for you and/or your student: *
Please select the size(s) of Gilmore Camp t-shirts you would like:
quantity 1
quantity 2
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Special Requests
Dietary restrictions, allergies, pertinent medical information can all be confidentially submitted here.
Use this section to list any special requests you have for your camper.
Your answer
Photo / Video Release *
As Parent/Guardian, I release the right for photos or videos of this student to be taken during the 2018 Gilmore Piano Camp at Sherman Lake YMCA. I understand that these images will only be used to document program activities for sponsors of The Gilmore Education programs and/or future Gilmore music education events. I understand that parental permission will be obtained for photo usage outside of the above situations.
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