2026 ACMF Student Forms

ACMF Pre-Camp Forms

Form must be completed by a parent if student is under 18. Please fill out a separate form for each student.
To complete these forms, you will need to have available:
- Date of participant's last tetanus immunization
- Medical insurance information
- Pediatrician/PCP information
- Student First Name
- Student Last Name
- Name of person completing forms (if student is under 18)
  
  First NameLast Name
- Relationship to student
- Email address
  A copy of your completed form will be sent to your email.
- Date of last tetanus immunization
  
  MonthDayYear
  Date
- Allergies
- Does student require the use of an epipen?
- Please describe.
- Chronic medical issues or conditions that could limit participation in any artistic, social, or athletic activities, or of which you would like us to be aware:
- Pediatrician/PCP name
- Pediatrician/PCP phone number
- Medical insurance provider
- Policy number
- Policy holder name
- Policy holder date of birth
  
  MonthDayYear
  Date
- I give permission for standard doses of the following medication to be administered by ACMF staff as deemed necessary:
  
  Other
- Please specify
- Permission for Medical Treatment
  
  I give permission for the above named participant to receive medical treatment (including medication, laboratory studies, x-rays, emergency services, blood transfusions, surgery, etc.) and/or emergency transport by ambulance upon the authorization of the ACMF staff. I understand that every attempt will be made to contact me if a medical emergency arises. I also understand that in the event the preferred doctor is not available, another licensed physician or dentist, or a reasonably accessible hospital will be used. This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists conclude it necessary.
- Medication Policy
- Waiver of Liability:
  
  I recognize and acknowledge that there are certain risks of physical injury and property as my child participates in this program, and I agree to assume the full risk of any injuries, including personal injuries, property damages, and expenses, which he/she may sustain as a result of participating in any and all activities connected with or associated with the activity. I further agree to waive and relinquish all claims to fully release, discharge, indemnify, hold harmless and defend the Atlanta Chamber Music Festival and its employees, volunteers, and agents from any and all claims resulting from injuries, including personal injuries, property damages, and expenses, all claims resulting from injuries, including personal injuries, property damages, and expenses, sustained by my child and arising out of, connected with, or in any way associated with the activities of the program. The participant assumes all risks associated with participation in the program.
- Medical Release
  
  In case of emergency, accident, or illness, I give my permission for the above participant to be treated by a professional medical person and admitted to a hospital, if necessary. I agree to be the party responsible for all medical and hospital expenses incurred on behalf of the above participant. If there are any special auxiliary aids or services that are necessary to reasonably accommodate the participant with a disability an equal opportunity to participate in and enjoy the benefits of the program of activity, please specify them on a separate, confidential sheet.
- Permission to Participate
  
  The above participant (or parent/guardian thereof) hereby consents to his/her participation in this activity. I authorize the leadership to transport the above named participant to the nearest hospital in case of injury or suspected injury while the participant is involved in this program. On behalf of the participant listed above, I accept the waiver of liability and medical release provisions of this form. I have read the Waiver of Liability, Medical Release, and Permission to Participate, and understand all of their terms.
- Photo/video release
  
  I hereby authorize ACMF (Atlanta Chamber Music Festival) to publish the photographs or video taken of my child for use in printed publications, videos, and on authorized Web sites (examples include but are not limited to brochures, flyers, website, and social media posts showcasing the festival). I acknowledge that since my child’s participation in media produced by ACMF is voluntary, we will receive no financial compensation. I further agree that my child’s participation in any media produced by ACMF confers no rights of ownership whatsoever to me or my child. I release ACMF and their employees/contractors from liability for any claims by me or any third party in connection with their participation. I understand that I may rescind permission at any time by emailing info@atlantachambermusicfestival.com.
- ACMF operates according to the following code of conduct to ensure that the rights of all individuals are protected while attending the camp and to establish the safest and best possible learning environment for all camp participants.
  
  Expectations:
  
  All students, parents, and staff are expected to treat one another with respect, to show equal respect to the property of others, and to behave in a way which does not endanger, intimidate, or interfere with the participation of others. Students are expected to follow the instructions given by ACMF faculty and staff.
  
  I agree to the following, with the understanding that failure to adhere to these policies may result in disciplinary action up to and including my immediate expulsion from ACMF with no refund of fees:
  1. I will not be in possession of cigarettes or any tobacco products, alcohol, non-prescribed drugs, weapons, or pornographic material on campus at any time.
  2. I will not use language which is intentionally offensive, sexist, or racist.
  3. I will refrain from fighting, bullying, harassment, or other forms of aggressive behavior.
  4. I will not leave campus boundaries without express permission from festival directors and parent or counselor supervision.
  5. I will not behave in a manner which damages or vandalizes the property of others or the Emory University campus.
  6. I will not behave in a manner which is potentially dangerous to myself or others.
  7. I will not allow any visitors inside my dorm room; common areas are available for gatherings.
  8. I will be in my residence hall by 10:00 p.m. each evening.
- Code of conduct agreement
  
  I acknowledge and agree to abide by ACMF’s Code of Conduct. I understand that a committee formed of festival directors, counselors, and faculty will address allegations of misconduct. Allegations that may be reviewed include any violation of the code of conduct; any illegal act; any act or language that may be considered threatening or abusive; and any reports from faculty of conduct unbecoming of an ACMF student (i.e. failure to attend rehearsals or performances, inappropriate behavior towards fellow students or faculty, etc.). The committee may impose penalties up to and including expulsion without a refund. Any disciplinary action taken will be reported to the student’s parents immediately. The decisions of the committee are final.
- I attest that all of the above information is true and complete to the best of my knowledge. I further attest that I have read and agree to the all policies outlined above.
- Signature of participant (or parent/guardian if participant is under 18)
- Typed name
- Date
  
  MonthDayYear
  Date
- Should be Empty:

ACMF Pre-Camp Forms