CSU Summer Music Camp Application
Monday June 23 - Saturday 28, 2014
Grade this School Year (2013-2014)
Family Email Address
Camper Email Address
Parent Cell Phone
Camper Cell Phone
May We Text these Numbers?
Camper Instrument or Voice Type (be specific)
(such as soprano, piano, trumpet, percussion...)
How Many Years have you played this instrument?
Select Your Program of Choice
Senior Band (Grades 9-12)
Blue Junior Band (Grades 6-8, played 2 years or more)
Gold Junior Band (Grades 4-8, played one or two years)
Senior Chorus (Grades 9-12)
Junior Chorus (Grades 5-8)
Piano Camp (Grades 6-12, played at least two years)
Select Fee Plan
*** IMPORTANT - You will need to remember the selected package and total amount when transferred to the online payment page. Please make a note of your selection.***
Complete Dorm Package, $340
Complete Dorm Package, plus half-hour lesson, $360
Complete Dorm Package, plus hour lesson, $380
Complete Dorm Package, Piano Camp, $380 (includes hour lesson)
Complete Dorm Package, plus hour lesson, plus additional hour piano lesson for non-piano campers, $420
Day Camper Plus Meals, $280
Day Camper Plus Meals, plus half-hour lesson, $300
Day Camper Plus Meals, plus hour lesson, $320
Day Camper Plus Meals, plus hour lesson, plus additional hour piano lesson for non-piano campers, $360
Day Camper Plus Meals, Piano Camp, $320 (includes hour lesson)
Name of Camper's School
Name of Camper's Music Teacher
Email Address of Camper's Music Teacher
Save paper! Please send my camp information and correspondence by email only!
Please send my camp information both by standard mail and email.
Parent Approval, Rules Agreement, and Media Release
I encourage my child to participate in the CSU Summer Music Camp. I agree to support all camp rules and regulations. I understand that final ensemble placement decisions rest with the ensemble directors and camp director and agree to abide by those placements. I understand that the Music Camp staff will make every effort to accommodate rooming requests, but that roommate arrangements cannot be guaranteed. I further agree that Summer Music Camp has permission to use any photographs or video taken during camp in future advertising. I assume financial responsibility for health care costs including the cost of any medication, x-rays, lab work or hospitalization. Refund Policy - You may cancel your application for Summer Music Camp and receive a refund less $50.00 (nonrefundable deposit) only if the request is made prior to two weeks before the beginning of camp. No money will be refunded for any reason after the two week deadline. Students arriving late for camp or leaving early are not eligible for monetary compensation. The $50.00 registration deposit is not refundable for any reason.
I agree to the above rules and regulations of Summer Music Camp at Charleston Southern University
Parent must sign form by typing your name
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