2023 Strings & Jazzy Things Music Camp

* Required information

Student Information

* First Name:
* Last Name:
* Camper nick name
* Email Address:
* Confirm Email Address:
* Address 1:
Address 2:
* City:
* State:
* ZIP Code:
* Phone:
* Cell Phone:
* Birthday--Student must be 10 through 15 years of age by the first fay of camp -June 12, 2023.
* Adult t-shirt size

Type	Fee
Event fee	$35.00

* What instrument will you play at camp? For 2022, Strings & Jazzy Things will include only string players.
* How many school years have you played your camp instrument? To participate in Strings & Jazzy Things, you must have played for 2 academic years or more, in a school program and/or community program.
* What is the name of the school you attend?
* What grade did you complete this spring?
* Who is your music teacher?
* What is your music teacher's phone number?
* What is your music teacher's email address?
*
Are you enrolled in the 21st Century Scholars Program?
- Yes
- No
*
Do you receive subsidized lunches or book rental at school?
- Yes
- No
* Student lives with (choose one):

*
Have you participated in Strings & Jazzy Things in the past?
- No, this is my first year
- Participated in 2022
- Participated in 2021
- Participated in 2020
- Participated in 2019
- Participated in 2018
- Participated in 2017
The Red Orchestra with Orcenith Smith is for advanced string players. To participate in the Red Orchestra, you must audition in advance (information will be sent to you).. Auditions are relaxed and friendly.
*
Would you like to audition for the Red Orchestra?
- No
- Yes

* Parent One First & Last Names
* Parent One Email Address
Second Parent or Guardian--First and Last Names
Parent Two Phone number
* Student's physician name and phone number
* Does student have any dietary restrictions or preferences
* Does student have physical or medical conditions that would impact his or her participation in the camp? Please explain.
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* Please list any medications that your student is currently taking.
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*
I give my permission for my child to take the following over the counter medicine for pain and/or stomach disorders.
- acetaminophen (tylenol)
- ibuprofen (advil)
- pepto bismol (or generic equivalent)
- topical treatments in case of cuts, burns, itches, or other skin irritations
- none of the above
*
My child is fully immunized and inoculated as required by law, including tetanus boosters and to the best of my knowledge, does not have any communicable diseases.
- Yes
- If your student is not immunized, we ask that you please do not register for Strings & Jazzy Things

*
Parents and students, please read the Community Standards on the Strings & Jazzy Things information page. Campers will be expected to adhere to these standards of behavior at all times. By checking I AGREE you are indicating that you will act accordingly.
- I AGREE
- If you are not able to agree to these standards, please to not register for Strings & Jazzy Things
*
Camper participation for the entire week is expected and required as a condition of registering for Strings & Jazzy Things.
- I AGREE TO PARTICIPATE
- If you are not able to participate in the final concert please do not register for camp.
* I understand that payment for Strings & Jazzy Things must be received by the Philharmonic Orchestra of Indianapolis by June 3, 2022. Payments will not be received at the camp. If you choose to pay by check, please make the check out to "POI" with camper's name in the memo line. Mail check to Philharmonic Orchestra of Indianapolis, BOX 78676, Indianapolis 46278

Pay with Credit Card
Pay By Check
Please make check payable to:
Philharmonic Orchestra of Indianapolis
P.O. Box 78676
Indianapolis, IN 46278