Wartburg College



Band Camp XX at Wartburg College

July 17-23, 2016

Registration Form

∗Band Camp at Wartburg is designed for students just finishing 8th grade, through just-graduated seniors.

Name ______________________________________ Name of High School __________________________

M ___ F ___ Grade (Fall ’16) ____ Age ______ Director’s Name __________________________

Address ____________________________ Director’s School Phone (_______) _________________

City _____________________________ State ________________Zip code ________________

Parent Name(s) _______________________Parent E-mail _______________________Student E-mail ____________________________

Parent Phone (______) ____________________ Student Phone (______) ____________________

Instrument(s) Concert Band________________________ Jazz Band _____________________

If referred by former camper, enter their name here _____________________ Roommate Preference (if any) ________________________ T-shirt (included in camp fees) Size: S ____M ____ L ____ XL ___ XXL ____

Registration fees: Scholarships:

Registering as Resident ____ Commuter ____ ______ All-State Member ($25)

(Commuter includes daily lunch) ______ Returning Camper ($25)

Registration by: Resident Commuter ______ Recruits *($25 for each recruit who attends)

May 16 $550 $450 ______ Meistersinger Honor Band Member 2016 ($25)

June 13 $560 $460 ______ “I will be attending Wartburg in the fall” ($25)

After June 13 $580 $480 ______ Sibling Scholarship ($25, sibling also attending)

______ TOTAL

Registration Fee: $ ______ (* - money will be refunded if recruiting

Optional fees: is done post-registration)

Private Lessons $60 (3 lessons) $ ______

OPTIONAL “Commission a MARCH for camp use only

$10 Donation”+ $ ______ fees paid: ________

date: ____________ Sub-Total $ ______ check # __________

Less Scholarships Total $ ______ Refund due: ______

Total amount enclosed $ ______

∗All fees due at time of registration. Make checks payable to Band Camp.

+Wartburg College graduate Jared Barnes has been commissioned to write a MARCH, celebrating Band Camp’s 20th Anniversary year! ALL attending students will receive an autographed copy of their part, and Mr. Barnes will be present to conduct the premiere!

Name __________________________

CHOOSE Your Class Choices Below (mark FIVE with the number 1 to indicate first choice. Mark ONE more with a number 2 as alternate):

Jazz Band ____ Conducting I ____ History of Rock ‘n Roll ____

Chamber Ensemble ____ Conducting II ____ Beginning Piano ____

*Private Lessons ____ Jazz Improvisation ____ Beginning Guitar ____

* - additional fees apply

Music Theory ____ Instrument Repair ____ World Drumming ____

∗ Ψου αρε νοτ χηοοσινγ the time of day (period) for each class, you are choosing the subject – you will be assigned into class periods, based on subject interest and scheduling.

∗ Please see next page of application for descriptions and additional information regarding these classes

∗Each day will begin and end with Concert Band rehearsal.

∗One mid-day period will be Second Instrument Class, required of all campers. One of the pieces we play on the Camp Finale Concert will be on these second instruments. Choose from flute, clarinet, alto sax, trumpet, trombone, horn, percussion. Please choose an instrument from the “family” that you do NOT already play (i.e. – woodwind player must choose brass or percussion.) Please mark your 1st and 2nd choice:

Flute ____ Alto Sax ____ French horn ____ Mallet Percussion ____

Clarinet ____ Trumpet ____ Trombone ____ Drum Percussion ____

Before you mail, did you:

1. fill out all personal information? Refund and Late Fee Policy

2. check registration fee? *The “registration” portion of the fees will be non-refundable.

3. subtract all appropriate scholarship options? Food service and housing portion are refundable in advance only.

4. read the class information below? *The College’s Late Fee Policy is a $25 penalty for registration

5. check your class choices above? After July 10th

6. sign ALL six parental consent forms below?

7. enclose required monies?

Return to: Questions? Call 319-352-8296 or

Band Camp Director e-mail craig.hancock@wartburg.edu

Dr. Craig A. Hancock, Director of Bands

Wartburg College From April 18 – May 18 please direct questions to

100 Wartburg Blvd. Vanessa Leavitt, Band Camp Secretary, at

Waverly, IA 50677-0903 bvleavitt@

CLASS DESCRIPTIONS

Jazz Band: A fully instrumented Conducting I: Designed for those History of Rock ‘n Roll:

Ensemble. Concert on Friday night. students with little or no conducting A five-day exploration of rock and

experience. roll history; the people, the reasons,

Chamber Ensemble: Small groups the sound!

of like instruments. Conducting II: Designed for those

students with some conducting skills. Beginning Piano: Designed for

Private Lesson: One-on-one with a staff students with little or no piano skills.

member. (Additional fees apply) Jazz Improvisation: Stressing the fundamental

of intelligent playing, this class will serve both Beginning Guitar: Instruction for

Music Theory: How does music the beginner and more advanced player. beginners on classical guitar.

work as a written language? Explore

the meanings of all those notes and Instrument Repair: Learn the very basics of World Drumming: Explore Taiko the lines and spaces, and the music instrument repair – common problems, why drums, steel drums, drumming

language they speak. they happen, and what you can do about them. circles, and more!

∗Medical Treatment Authorization

My son/daughter, _____________________________, has permission to participate in the Band Camp at Wartburg College to be held on the Wartburg College campus July 17-23, 2016. If illness or injury should occur during the camp, I give permission to authorized personnel to seek medical treatment for my child. The parent/guardian will be responsible for all financial obligations associated with the medical treatment. I realize that the camp personnel will make every effort to contact the parent/guardian first.

(parent/guardian signature)________________________________ (date) ______________

∗Allergies and Medical Conditions

My son/daughter has the following allergies and/or medical conditions that Band Camp at Wartburg College staff should be aware of (please include any necessary information staff should know in order to best care for your son/daughter): ___________________________________

(parent/guardian signature)________________________________ (date) ______________

∗Authorization for Band Camp Trips

My son/daughter, _____________________________, has permission to participate in any off-campus events occurring during the Band Camp at Wartburg College, July 17-23, 2016. Any and all travel will happen in vehicles provided by the camp, and driven by fully licensed camp staffers only.

(parent/guardian signature)________________________________ (date) ______________

∗Permission to Release Information

I grant permission for the name, student email, and student phone number of my son/daughter, _____________________________, to be shared only with other students and staff attending Band Camp at Wartburg College from July 17-23, 2016. This is for the purpose of aiding the students in staying in contact with each other after camp is over.

(parent/guardian signature)________________________________ (date) ______________

∗Photo Permission

________ I give permission for Wartburg College, including those representing Band Camp at Wartburg College, to use pictures of my son/daughter, _______________________________________________, in publications related to Band Camp. Last names will not be included with pictures.

________ I do NOT give permission for Wartburg College, including those representing Band Camp at Wartburg College, to use pictures of my son/daughter, _______________________________________________, in publications related to Band Camp.

(parent/guardian signature)________________________________ (date) ______________

∗Permission for Electronic Communication

_________I give permission for Wartburg College, including those representing Band Camp at Wartburg College, to use pictures of my son/daughter, _______________________________________________, on “social media” (including Facebook, Instagram and Twitter) as a way of sharing said pictures with other band campers and staff. Every effort will be made to limit the audience of these groups to only include Band Camp students and their parents/guardians. Band Camp staff will not attach camper names to these pictures.

________ I do NOT give permission for Wartburg College, including those representing Band Camp at Wartburg College, to use pictures of my son/daughter, ______________________________________________, on “social media” (see above) as a way of sharing said pictures with other band campers and staff.

(parent/guardian signature)________________________________ (date) ______________

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