Application Form 2014 - Midsummer Sound
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1
2Midsummer Sound
registration form 2014
Due: May 1, 2014
Print and mail form to 188 Napier Street, Barrie, ON, L4M 1W8, or complete online at
<midsummersound.org>
1. BASIC INFORMATION
Please print clearly.
6. SELECT THE WEEKS ATTENDING:
STUDENT Full Name ___________________________________________________
WEEK ONE July 7 – 11, 2014
$380…………..….…._________
Address _____________________________________________________________
WEEK TWO July 14 – 18, 2014 $380………….……..._________
City______________________________ Prov________ Postal Code ____________
7. OPTIONAL LUNCH FEE
Daily prepared lunch ($40/week)………….…………...… _________
Cell phone __________________ E-mail____________________________________
8. OPTIONAL DONATIONS
(indicate amount)
AGE (on July 1, 2014) _______
Midsummer Sound Scholarship Fund ................. _________
INSTRUMENT: Violin
Viola
Cello
Piano
Other ________________
Midsummer Sound Endowment Fund..................._________
NEWEST PIECE: Composer______________________________ Book #_________
TOTAL
FEE:___________
Title/Mvt. _____________________________________________________________
Please add Nos 6-8, and enter the total amount.
PARENTS Full Names __________________________________________________
AMOUNT ENCLOSED................................................... ____________
2. YOUR HOME TEACHER
Mail with cheque payable to:
Teacher Name ________________________________________________________
Midsummer Sound
188 Napier Street,
Phone ____________________E-mail______________________________________
Barrie, ON
L4M 1W8 CANADA
3. SOLO RECITAL INFORMATION
REFUND POLICY: Tuition fee refunds will be made up to June 1, 2014
Piece to be performed, polished & fully memorized, bring piano accompaniment:
on request. After June 1, partial refunds will be considered under
exceptional circumstances only.
Suzuki Book _________
Conservatory Grade #________
By registering my child for this program, it is understood and agreed
Week 1:
that Midsummer Sound bears no liability while my child attends
Composer____________________________________________________________
Midsummer Sound. Photos and musical videos of my child may be
Title/Mvt. _____________________________________________________________
used for publicity including the website. I take full responsibility for my
child and his or her activities during Midsummer Sound.
Week 2:
Composer____________________________________________________________
I AGREE TO THE ABOVE
Title/Mvt. _____________________________________________________________
4. OPTIONAL: CONCERTO COMPETITION
(see reverse for rules)
Parentʼs signature_________________________________________
Date ______________________
Composer ____________________________________________________________
Title/Mvt _____________________________________________________________
Chamber and orchestral parts will arrive by mail or email.
Please consider volunteering, as your presence will set
5. BURSARY APPLICATION
campers at ease, and make for a fun learning environment.
We are looking forward to another exciting summer of music!
Midsummer Sound offers several $100 bursaries and one full-tuition bursary to
students who otherwise may not be able to attend the program. To apply, please
Click
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include a brief letter from your teacher recommending your child and include it with
your application. We are grateful to those parents who donated, attended gala faculty
concerts, and especially to those who hosted house concerts. Thank you!
Due April 1, 2014
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