Music Conservatory Application

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The Salvation Army
North and South Carolina Divisional Music Department
Music Conservatory Application
Date: June 18 - July 21, 2012
Location: Camp Walter Johnson, Denton NC, 27239
Application Deadline: Monday, May 21
This form is for prospective students of Carolinas’ Music and Arts Conservatory Program. Before it can be accepted by the
Divisional Music Department, it must be completed and signed by each student, parent/guardian, and the corps officer.
Acceptance to the program is not granted on a first-come, first serve basis. The following requirements must be met:
1.
students must be 10 years old by June 18, 2012
2.
students must have an ongoing-involvement in music or artistic ministries at the corps level;
3.
students/parents commit the student to remaining in the program for its complete duration;
4.
students must bring their instrument with them to camp (except piano/percussion)– the music department is not responsible for providing
instruments for students;
5.
each student, the parent/guardian, and the corps officer agrees to each of these terms included by signing this application.
Student Information (type or print neatly):
Last Name
First Name
Initial
Birthday (mm/dd/yy)
Gender
Mailing Address
street
city
state
zip
Phone Number
Email Address:
T-Shirt Size (please select)
( ) Children’s
Small ( ) Medium ( ) Large ( )
( ) Adults
X-Large ( ) XX-Large ( )
Please select your major by selecting an instrument from the menu or by checking a box:
All students will participate in vocal instruction (chorus), regardless of
Brass: ( )
Creative Arts: ( )
Piano: (
)
the track selected.
Percussion: ( )
Guitar: ( )
Name of Instrument:
Describe any musical artistic experience that you may have. You may
include any Salvation Army programs (including other regional, divisional, or territorial events) as well as other programs including
school or community programs. Students are selected based on participation at the corps level (where available), so it is
imperative that you complete this information.
Camper Agreement:
If I am accepted as a student for The Salvation Army Carolinas’ Music Conservatory I will:
Maintain Christian standards in my behavior, dress, relationships and language;
Bring every thing with me that I will need while at camp (including uniform, instrument, etc - list to be mailed later);
Obey the rules that are set for me at camp;
Respect all staff members and my other campers;
Work diligently in order to do my best;
Attend all meetings and participate in all that is required of me at camp;
By checking this line, I am indicating that I understand and agree to abide by the camper agreement. ____________

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