Music and Art Summer Camp

We're excited to have your child join us this summer for our music and art summer camp, where children will learn the basics of violin, piano, ukulele, singing, art and more, along with fun music games, sensory activities, and snacks!

Please carefully read the following camp policies below, and complete the registration form.

Please submit one form per student no later than the WEDNESDAY prior to your student's chosen camp(s) no later than 5 PM!

Please note, your student's spot is not held until a tuition arrangement is made.

Pricing, Dates, and Themes:

Week 1 Instrument Families/Musical Theater (June 5-9): $300 (Half Day); $450 (Full Day)

Week 2 Around the World (June 12-16) : $300 (Half Day); $450 (Full Day)

Week 3 Under the Sea (June 19-23): $300 (Half Day); $450 (Full Day)

Week 4 Disney (June 26-30): $300 (Half Day); $450 (Full Day)

Payments include access and rentals of violins, ukuleles, piano, desk bells, and percussion instruments.

See sibling rates at the checkout.

*Add on private piano, voice, ukulele, guitar, or violin lessons ($32/week)

Camp Information:

Students 3-5 years-old will attend the half-day camp. Students 6 and up have the option of doing half day, or full day.

Drop off-9:00am

Pick-up:1:00 pm (half day)

Pick-up: 5:00 pm (full day)

Students will need to bring a packed lunch.

Snacks will be provided.

Early Pick-up, Late Arrival, and Absense Policies:

Students must be dropped off no later than 9:15, as we begin activities promptly after drop-off.

*If you need to dropp off late, or pick-up early, please notify Desirae at the beginning of the week that your camp starts.

You must pick up your child between 12:45-1:00pm (half day), or 4:45-5:00 pm (full day). We will give a grace period of 5-minutes, and after that parents will be charged a babysitting fee of $1 per child, per minute following the end time of their enrolled camp.

Any absenses will not be reimbursed.

Safety Precautions:

Masks are optional for students.

Do NOT come to camp if your child is exhibiting ANY Covid-19 symptoms. All families agree to keep their children home if they have been exhibiting any symptoms or if they have been exposed to someone who has exhibited symptoms of or tested positive for Covid-19.

Hand sanitizer will be available in each class room and at the check-in location, and members will be encouraged to use it whenever necessary.
• Sanitizing wipes will be provided to staff to assist with cleaning of rehearsal items.

We ask families to commit to telling us (via direct phone or email communication with Desirae) if students test positive for Covid-19 at any point during the season.
o We will protect their privacy, but need to be able to notify others.
o We will ask any students who test positive to not attend camp for at least 1 week.
o They should also wait at least 5 days after their last symptoms and test negative for
Covid-19 before returning to camp.
o Due to various health and privacy regulations, we will not ask for documentation or
proof of this, but will lean on each family for individual accountability and integrity.
• We commit to notifying families in a timely fashion if someone they were potentially
exposed to at a rehearsal has tested positive for Covid-19.
o We will ask anyone exposed to not attend in-person rehearsals for at least 1 week.

Please select any and all dates in which your child will attend camp:

June 5-9June 12-16June 19-23June 26-30

Would you like to add on any additional lessons? If so, please select below.

Student Name

First NameLast Name

Student's Date of Birth

Date

Student's Age Group:

Ages 3-6Ages 7-14

Please describe your student's musical background. (Has taken lessons for ___ years, no musical experience, proficient in what instruments).

Known Allergies: Please list any known allergies your child has.

Primary Parent/Guardian Full Name

First NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Secondary Parent/Guardian Full Name (Must be different from primary guardian).

First NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Emergency Contact Name

First NameLast Name

Phone Number

Please enter a valid phone number.

Primary Parent/Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How did you hear about Mindful Music Center?

Please list any person other than the listed Parents/Guardians who will be picking up your child from camp:

Parent Signature: Please sign below to indicate that you agree with the policies listed.

Clear

Please select the payment option below:

One Week of Camp (Half Day) May be applied to any week

$300.00

One Week of Camp (Full Day)May be applied to any week

$450.00

Two Weeks of Camp (Half Day) Save $50! May be applied to any two weeks.

$550.00

Two Weeks of Camp (Full Day) Save $50! May be applied to any two weeks.

$840.00

One Week Sibling Discount (Half Day) Please complete one form per sibling, and check this box for each sibling.

$270.00

One Week Sibling Discount (Full Day) Save $50! Please complete one form per sibling, and check this box for each sibling.

$405.00

Two Weeks of Camp Sibling Discount (Half Day) Please complete one form per sibling, and check this box for each sibling.

$495.00

Two Weeks of Camp Sibling Discount (Full Day) Please complete one form per sibling, and check this box for each sibling.

$756.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Music and Art Summer Camp

Mindful Music Center Summer Camp Registration Form 2023

Student Information:

Parent/Guardian Information: