Participant Information
Participant Name
First Name
Last Name
Preferred Pronouns
Date of Birth
-
Month
-
Day
Year
Date
Participant Address
Participant Phone Number
Participant Email Address
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Parent/Guardian Information
If participant is under 18 years of age.
Parent / Guardian Full Name
First Name
Last Name
Relationship to Participant
Parent / Guardian Phone Number
Parent / Guardian Email Address
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Emergency Contact Information
Emergency Contact Name
Emergency Contact Relationship to Participant
Emergency Contact Phone Number
Emergency Contact Email Address
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Participant Medical Information
Allergies (Please list known allergies)
Medications (Please list any medications participant is currently taking)
Special Needs or Accommodations
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Musical Experience
Music Experience: Instruments Played (please list and include years studied)
Music Experience: Vocal Training (please include years studied)
Music Experience: Other Relevant Music Experience
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RELEASE & WAIVER
Photography Release: I hereby grant permission for the Ventura Music Festival and the Ojai Underground to take photographs and videos of my child/me during camp activities. These images may be used for promotional purposes including but not limited to the festival’s website, social media, and printed materials.
Yes
No
Other
Liability Waiver: I understand that participation in the Ventura Music Festival Songcraft Summer Camp involves a certain degree of risk and that the camp and its staff will not be held liable for any injury or accident that may occur. I agree to release, discharge, and hold harmless both the Ventura Music Festival and Ojai Underground, their directors, employees, and volunteers from any claims, damages, or other liabilities that may result from participation in the camp. I understand that checking the box below constitutes my signature, and I agree to the above terms.
I Agree
Authorized Person(s) for Pickup
Person(s) NOT Authorized for Pickup
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Tuition Information
The tuition cost for this camp is $999 at full value, but fees are flexible on a need-based scale, and full and partial scholarships are available. How would you like to be contacted about tuition information and scholarship opportunities?
Phone
Email
Other
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