Emmanuel French Seventh-day Adventist Church

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Home > The Ministries of our Church > MUSIC MINISTRY >
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EMMANUEL 2014 MUSIC CAMP REGISTRATION FORM
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Emmanuel French SDA Church
207 Broadway Ave, Huntington Station, NY 11746
(631) 673- 6149
Emmanuelfrench22.adventistchurchconnect.org
 
Summer 2014 Music Camp Registration Form
August 25-29    Monday-Friday   10AM-1PM
 
 
Registration Fee: $12 per Child                          Instrument Fee: $0-$200*[1]
Private Lessons are available upon request!
 
 
Parent/Guardian’s Name:___________________________________________
         
Home Address: __________________________________________________
Phone: ____________Home)   _____________(Cell)  _______________(Work)
 
Child’s Name: ___________________________________________________
Age: ___   Date of Birth:___/____/____
 
 
Musical Lesson Choice (Circle options)
Bass (  )     Drums (   )    Guitar (  )   Piano (  )      Voice (  )    Recorder/Flute (  )
 
Rules: Students must comply with the rules of the Camp which are as followed:
  1. Students must FOLLOW  Instructors and Staff’s directions
  2. Students must BRING Materials(Notebook, Homework, Pens/Pencils, Highlighters) to camp everyday
  3. Lateness will result points deducted from overall Grade
  4. Students MUST practice on their own time
  5. Parents MUST be supportive if child is serious about learning
  6. Students must be respectful of staffs and fellow campmates.
  7. Any Injury/Conflict must be reported to an Adult or Instructor
  8. All Instruments must be taken care of with RESPECT, DISCIPLINE, & ORDER
  9.  Failure to co-operate with fellow campmates, instructors or staff will result in being KICKED OUT of the Camp after 3(three) strikes.
 
Transportation:
  • Students must have means of transport to the Camp.
  • The person who dropped them off must sign in and must report who will be picking the child up.
  • The Person picking them up must sign out and must have permission to pick the child up IF they are not the legal Parent/Guardian.
  •  ID must be shown.
  • If transportation is needed for that day, please give a 12 hour notice by Phone, Text, and/or Email. (CONFIRMATION MUST BE GIVEN ON BEHALF OF BOTH PARTIES.)
 
Medical History (check all that apply):
Headaches (  )  Seizures (  )   Asthma (  )   and Others ____________________
Please specify any allergies_________________________________________                                                                                                                        List medications.__________________________________________________
 
I agree to all terms and conditions of the Emmanuel French SDA Music Camp                  and hereby confirm the enrollment of my child.
 
Parent/Guardian's Signature _________________________________________
 
 
Deadline to mail or hand in forms is August 21st!!
If any questions or concerns arise, please contact:
Mr. Sainthil (631) 617-3501 renalsainthil@gmail.com
Mr. Pierre    (631) 601-3710    apierre919@gmail.com
Mr. Eugene  (631) 793-3601
Mr. Derard   (631) 601-3709
 
Mail Forms WITH $12 Check made to the order of: Emmanuel French SDA Church.
 
DO NOT INCLUDE INSTRUMENT FEES UNLESS YOU HAVE CONSULTED THE PEOPLE LISTED ABOVE!!
 
 
 
Emmanuel SDA
207 Broadway Ave, Huntington Station, NY 11746
(631) 673- 6149
Emmauelfrench22.adventistchurchconnect.org
 
 
[1] * Optional but Recommended 

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