Summer Music at the Augusta Registration
Register for our summer music program!
Student First Name
Student Last Name
Grade in the Fall
Grade 10-12 (High School Volunteer)
What Sessions are you registering for?
AM Only (band, chorus, orchestra)
PM Only (rotation of 3 classes; guitar, world drumming, and hand chimes)
FULL Day (both AM and PM)
AM Program Course
Chorus (no experience required)
Band (one year of playing experience required)
Orchestra (one year of playing experience required)
Not participating in the AM program
Bass (upright string bass)
Do you need to borrow an instrument for our program? (if you select yes we will lend you an instrument to use during the two weeks of the program)
Name of an Emergency Contact
Emergency Contact Phone Number
What is the relationship of the Emergency Contact to the Student?
Please list any allergies or medical information about your child that we should be concerned about. If there is nothing, please type NONE.
I will be dropping off and picking up my child from the Augusta Curtis Center
My child will be walking to an from the Augusta Curtis Center
Photo and Video Consent: We may take photos or videos of students as they perform or participate in our program. Do we have your permission to include images of your child on our website, newspaper submissions, or recruiting materials?
Yes, you have my permission.
No, my child's image may not be included.
Student's T-shirt Size (adult sizes)
Does your child qualify for free or reduced lunch? (we ask so that we can apply for grants)
Breakfast and Lunch Program: This year we are offering free breakfast and lunch from the Greater Meriden Summer Meals Program to all of our participants regardless of financial background. Breakfast will be 8-8:30am and Lunch at 11:30-12:30. Please let us know if you plan on taking advantage of our meal program. A menu will be offered on the first day of the program.
BOTH BREAKFAST AND LUNCH
Are you applying for a scholarship?
If you are applying for a scholarship, please explain your circumstances below. You may be asked for further information such as tax forms.
Parent Signature: "I allow my child to participate in the Summer Music at the Augusta Program" (please type your full name)
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