YAE Summer Camp

Hi! What's Your Full Name?* This field is required.New Camp Members Not Parents

First Name

Middle Name

Last Name

Grade Level* This field is required.

for Incoming A.Y. '12-'13

Are you an Artist or Entrepreneur?Select one.

YESNO

Which program are you most interested in?Selects from options below

E-mailDo you have an email address?

Mobile Number* This field is required.Enter 0 if not applicable.

Telephone Number* This field is required.Enter 0 if not applicable.

Birth Date* This field is required.

Present Address* This field is required.Write your Street Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Person to contact in case of emergency:* This field is required.

Other than Parent/Guardian

Relationship* This field is required.

ex. Father, Mother, etc.

# of person to contact in case of emergency* This field is required.

Do you have a Headshot?To be used in nomination forms, application forms, etc.

Drag and drop files here

Select files to upload

Max. file size: 10.0MB

File should be in jpg format

Extra Curricular Participation* This field is required.

Student Council

Sports

Club/Organization

Band/Orchestra

Others (please specify below)

N/A

Skills/Talents* This field is required.

Acting

Arts/Crafts

Entrepreneurial Mindset

Dancing

Debating

Drawing

Cooking

Fashion

Photography/Videography

Sports/Athletics

Playing guitar/instruments

Modeling

Programming

Singing

Writing

Others (specify on next)

Other Skills/talents

Creative Profession Interests* This field is required.Are you interested in learning more about becoming one of the listed professionals?

Television/Film Producer

Programmer

Radio Personality

Comedian

Writer/Author/Blogger

Actress/Actor

Athlete/Coach

Director

Spoken Word Artist (Poet)

Model

Singer/Vocalist

Editor

Culinary Artist

Others (specify on next page)

Other ProfessionsOther professions you may be interested in.

Interests* This field is required.What type of things are you interested in?

What are you passionate about?Describe your passion here.

GoalsDo you currently have any goals you are working towards?

Estimate your family monthly income* This field is required.

Do you have a scholarship?* This field is required.

Yes

If Yes, who/what is the name of your sponsor?

Any allergies, chronic illness, or medical conditions such as prescribed Inhalers, etc.? If yes, please describe.Please List any and all medical conditions, as well as any FOOD ALLERGIES.

Parent/Guardian Information* This field is required.Please

Full Name

Please enter your email

Please enter your phone

Address

Are you an artist, or do you work in the Creative Industry?

Informed Consent* This field is required.Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Von Trapp during the selected camp. In exchange for the acceptance of said child’s candidacy by Von Trapp L.C., I assume all risks and hazards incidental to the conduct of the activities, and release, absolve, and hold harmless Von Trapp L.C., and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against Von Trapp L.C., including all instructors, affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in some activities, including sports, fishing, and gardening. Please type, I UNDERSTAND

Medical Release and Authorization As Parent and/or Guardian of the named minor, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical treatment or examination for the named minor. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Von Trapp L.C., and its affiliates including Directors, Instructors, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered camp season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence. In other words, we've got you.

RegistrationPayment & Options. Please save and continue after receiving coupon code.

My Bag

Y.A.E. MembershipCreate a membership for this program for access to all upcoming courses, training sessions, events, and more. Not req. for registration
$25.00+Edit
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Selected CoursesYou pick your day of instruction!
$20.00+Edit
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Summer Camp Weekly RegistrationEnroll in all one particular week of fun & instruction.
$75.00+Edit
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Week 1: Decompression & Relaxation Activities
Week 1: Decompression & Relaxation Activities
Week 2: Video Production & Podcasts
Week 3: Art, Gardening, Community Development
Week 4: Music Production, Poetry, & Song Writing
Weeks Available
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Summer Camp RegistrationEnjoy all four weeks of Fun and Instruction. Discounts are available for siblings.
$300.00+Edit
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Complete:* This field is required.

YAE Summer Camp