Olentangy Summer Strings Camp Registration Form
-Please complete a separate application for ALL students attending from your family.
-Your responses will be used to create address labels, name tags, etc so please avoid using all caps or all lowercase letters.
-The email address requested in the first question will be used for communication and to receive your registration receipt so please double check for accuracy.
Student First Name
Student Last Name
Highest Grade Completed
Please indicate grade during the 2018-2019 school year
please indicate the school you attended during the 2018-2019 school year
Alum Creek ES
Freedom Trail ES
Glen Oak ES
Indian Springs ES
Johnnycake Corners ES
Liberty Tree ES
Oak Creek ES
Olentangy Meadows ES
Scioto Ridge ES
Tyler Run ES
Walnut Creek ES
Wyandot Run ES
If you chose "other" above, please list school and district here
If "yes" please list name of private teacher and piece or book they are working on:
If your child takes lessons we may consider moving him or her to a higher grade level (final determination will be based on teacher recommendation)
This decision will be based on many factors. Please help us by completing the following statement. "If my child qualifies musically to be moved to a higher group, he or she________" (choose all that apply)
would prefer to stay with his/her grade level for social reasons
might be interested. Please contact me so we can make this decision together
would welcome the challenge
was moved to a higher group last year in strings camp
We will be mailing confirmations, emergency medical forms, etc to the address given. Please refrain from using all caps
The email given at the beginning of the form is where all communication will be sent including your registration receipt. You may also add a secondary email here if you wish. This is not required but make sure the one given at the beginning of the form is one you will be able to check.
Home Phone Number
Cell Phone Number
Work Phone Number
Adult Extra Large
We will be eating a pizza lunch in the Alum Creek Park on Wednesday, July 17th. They will also have a drink, chips, carrots, and dessert. Students are welcome to pack a lunch for this day if they cannot eat pizza
I will pack a lunch
Do you have any food allergies or dietary restrictions that we need to be aware of?
(please check all that apply)
No Pork Products
No Beef Products
Tree Nut Allergy
Lactose Intolerant/Dairy Allergy
Please use this space if you need to describe your dietary restrictions further
Do you have any health concerns, activity restrictions that we need to be aware of?
(please check all that apply)
Behavioral/Emotional Difficulties (ie: Anxiety, Depression, etc)
If necessary, please use the space below to further describe any health concerns or activity restrictions
I give consent for camp staff to administer the following over the counter medications to my child:
No consent given without parent contact
Do you have any custody disputes/issues that we need to know about for camp pickup/dismissal purposes.
For Middle/High School Students Only, please check ONE option below:
This question applies only to students who have completed sixth grade
Option #1 Day Camp PLUS Overnight Every Night
Option #2 Day Camp PLUS Overnight Thursday Only
Option #3 Day Camp Only (no overnight)
Students may request to share a room with another student of their choice (honored on a first come, first serve basis). Please list your roommate choice(s) below, if desired:
*male & female students will be separated
Please indicate if you are interested in carpooling. By checking below you are giving permission for your name, phone number, and subdivision (and/or school attended) to be listed on an information sheet going out to other parents also interested in carpooling. It is then your responsibility to contact other interested parents to make arrangements.
Yes, I am interested in carpool information
No, I am not interested in carpool information
If you selected "Yes" please indicate your subdivision or road below
Photo Release Statement
The Olentangy Summer Strings Camp is requesting permission to use your/your child’s photograph to promote the camp. Please read the following statement and choose an option below. "I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. If you choose to opt out this will not affect your/your child's placement in the camp, a particular orchestra, etc."
My/my child's photograph may be used to promote the camp
My/my child's photograph may be used in print publications but NOT online
My/my child's photograph may not be used in any capacity to promote the camp
Thank you for registering for the Olentangy Summer Strings Camp! We will mail out confirmations to the address given by the first week of July!
Your application process is not complete until you pay online with credit card OR send the payment form and check (made out to POP Arts) to:
Olentangy Summer Strings Camp
c/o POP Arts
2840 E. Orange Rd
Lewis Center, Ohio 43035
A $25 late fee will be assessed for all payments and/or registrations received after May 23rd
*Need-based full & partial scholarships are available. Please email lori_cornett@olsd,us to request a scholarship.
I have/will pay by credit card
I will mail a check to the above address
I need to request a full or partial scholarship
Please list your check number AND last name on the check (if different from child) or payment method if you chose "other"
If you do not receive a confirmation email to the address given in the first question on this form, we do not have your child's registration!
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Olentangy Local Schools.