I About This Form .00(te a et

I I S I About This Form .00(te a et Applicant Information International students: When providing telephone number, include the country code and the city code before the local telephone number. Application for Admission 4241t1V011 ,1416D Please answer all questions below. The application deadline for first priority review is February it Application this date arc welcome and will be reviewed on a rolling admission basis. Sec the "Admissions" section of the Cam tor complete application and scholarship/financial aid information. Sorry, but we cannot process an incomplete al I Yes RIND Are you applying for Scholarshipfinsneial Aid? ❑Yes EtNo Arc you applying foe Tx Governor's Scholar Whst Division an im for? aim Session A [Junior Setslong O on... A g 'ammo/art O High Set I ate NuntiOni4blen Ser Moe F Nome &your school. Street Address O Yes ESN° Have you previously attendedI ri Yes l27 No Is a patent an alumni of Intuit:else:if ❑ Esther O Mother: Mtuden none: Write alto attended: Yeatfs) of attenclanct: Additional International Applicant Information [YrYes O No Are you a US. Cow& If not a U.S.Gwen indicate edaenstop Sxkl It English the pommy language spoken as home tell Name outset penal in the ani atm If nor. what is the psi or, TM • available') Parent or Guardian Information D Stepfather O Stepmother O Legal Gunshot U Ocher. Ic t O Monad O Dintrced OST•Thlld (h&c 1 Arc. Code puher m Guatdian (note relationship) N I Inme Street Address OcrupatIOn Occupation State Zip Name of F.mployer (Ace Telephone: Area Code • Number Office Far Arta Code . Number Personal Information Nmc any physical, psychnlogstal. medical ix other condition wolfing special at tau inn or care (such as sleepwalking, leaf of storms. bed anteing, etc.). tem,. 4nrnenal adttruniontsirh at h.( thr u-nue nr Avg Irrinh e&Itiv milenedtclener tie Please give any infix:won that might he helpful in guiding the educe:caul and personal *mitts-um of pour child. For Internal Use EFTA00090247 Private Lessons? Names C. A at left. B at right. Students in the Junior Division will be assigned Elute periods of arts activities, including private kssons.Students who complete grade 6 have the option of selecting an additional am dais in place of land recreation. Pleat refer to the 'Junior Division' section in the Camp Extra for a complete discussion of arts activities, daily class scheduling and prerequisites. 1. Session A 1-Session B 3. Session A 3. Session A 3. Session B 3. Session B 4. Soda, A IL Session A 0 4 - 30-min. lessens. Instrument: 0 4 - 60-min. lessons. Instrument: 4. Session B • S. Session B 0 4 - lenrart Instrument: 0 4 -60-min. lenont Mummery: Intermediate & High School Arts Activities Major Activity: At left; list Course Names in order of preference. Minor Activities: At right; list Count Names in order of preference. Private Lessons? Music Students Please Answer: Students in the Intermediate Division will be assigned four periods darts activities, including private lessons. Students who complete grade 9 have the option of se.ecting an additional class in place of recreation. High cthani L --- - r including private Lessons. Please refer to your division's section in the ing, prerequisites and audition requirements. Nets: the Comp does W Choke Maass Coors:Nano / Instrument Of appl llaSecoodeunce Major Car / Instrument (afapplkabk) a M US C them SKIMS Clone Major Count Name / lintrument (if applicable) OPPE R TTA WORIcS1-10 P VOCAL TECH tsliOOFs aiiIngurithis INSTRUMENT 3CL`°'MgsE / FLUTE ODERA/ DAtJCE 5 Minor Course Name ❑8-30.rnin. pirate lessons. Instrument: 0 8 60.min. pirate lessons with one period °Futuna daily. Instrument: -1 1A—Mann unmet Imaubawob rob rioram:mrhihr lembumm. Dance, Theatre, Visual Art students - Please A ns Pinup.' caper :tore in Or<imur Nurnhei of Yea,, / Posit ion Previous tapertalle in Band: Nombre n(Yrst t, t Lin difficult marka performed in on ra, band or in ensemble within the put year. List the RWO mot difficult Sot haw mastered on your primary imimmens or sung. TCIEA THE/ML si- CAL TEAT. Trai n a.k-'oulannwe imataDescribe rim" training and ex enem' in this atm, Vor 3--aef cos-Fun/the ac4-m9 provisa-lion • musical -4-heal-re pe_r%rtrarces, yvlovi ks • Additional References given to whom? Neappltrenn ram he processed arrhord riAmarivry of Appistmii drtd Paint/Guarthatv. Send Admission Materials to: 08410Rat Applicant please indicate: 0 Asian American 0 Bbck/Aftroo American 0 Chicano0desient American 0 Porno Rican 0 Native American/American Indian grenitoCauessian 0 Other. please specify: I 1 3 a Card,' Card Name and Number Expiration Due Please enclose the required $ on. Sec page 2 of the Camp Extra for a complete discussion of Camp cost and refund policy. Your check at payable c You may use a credit card: VISA. MasterCard, Discover and American Express. EFTA00090248 Part I Applicant Artistic Recommendation Please complete the follow in items and [et tint that the person to whom you are giving this form fill out Part by February 15 to t Admissions Office. This recommendation should be comp instnictor or director who is very fame tar wit your abilities in your particular arts area. THEA 712 E ARTS 7M it s iC L F: •Far yea What if your primary .rev of interne? If MUSIC, Int instrument. urn bet, Port II Instructor The above student is making application for admission to the Interlochen Arts Camp and is asking that you complete this confidential recommendation form. By returning this form by February 15, you will insure a prompt review of his or her application. All information given will be treated in a strictly confidential andprofessional manner b the Camp. Please return the completed form promptly to: Admissions Office If you have questions, please call the Admissions Office a 0 Please check if you would like to receive more information about Interlochen Center for the Arts and its year-round educational programs. Estimate of applicant's success: gVir:11 probihn be a suetnet uudrne. D Will probinty be an above smote student. D wi:i probably be an avenge student 0 May have some difficulty and should have saw<al guidance44rue captain below). I n relation to others in the candidate's age group whom you have known, please check the appropriate bar for each item: AMUCK Potential EfOutstanding 0 Veg. Good 0 Avenge 0 Below Average Actinic Achievement ®Outstanding '.Very Good 0 Avenge 0 Mow Average Work/Practice Habits cal Oatuarthng I J Very Good 0 Menge 0 Below Avenge Initiative ROuutanding 0 Very Good 0 Avenge D Below Avenge Cantivity Outstanding • 0 Very Good 0 Menge D Below Average Common Seem )310untanding 0 Very Good 0 Average D Below Avenge Stvicanness of Purpose Outstanding 0 Very Good 0 Average 0 Below Average RC/C6041 (9 Criticism XIOntuanding 0 Very Good 0 Average 0 Below Average Self Diu Milne laOutstanding 0 Very Good 0 Average 0 Mow Avenge c..4 Hatt t.(.-I aica tao-.J • Ptes Compatibility nq Outstanding Stuawe v.u, rV-r.ttsn1. 0 Avenge 0 Below Average 0 Very Good Conduct rektitstanding 0 Very Good D Arnie ❑ Below Average Integrity Woutstanding 0 Very Good 0 Avenge 0 Below Average EFTA00090249 ants Additional comments. positive or otherwise, which the Camp should review when considering the applicants acceptance.' • The Camp wishes to receive all information which will lead to a better understanding of the applicant and his other. • experience to date. P1/414. C:(:).-tikkeNScs Z Co ocr) NAicc -Ftia. ‘Sod BF ko sr (ls cr;Vg, SfrE I GwTED int 'Music AND P2ANA Pi-M) Ras MA N 4 --rtelCas rl 4t-EO Let.ri- KITE eEsT - ftkid...01) i1/4.16 PS*" ik)(; -Fr urr 9kpwo and Ei-s&T)) smicfmc tN A L.n&-ty VoICE INNID etm lANAlipiCL•C WIDE gANCr: (Dc NOTES r IN -)o2 0C 4 LANGuAC,c-s , Pn4D TOciNa ficiStrAt DttreTic6V Ltia: eaA4ESSIANAL 'TA() 06,41 .1I4F I s LA-can); l)pritZAiNF'D 'To RLSo ADDS 11+E PauPcsin CC HER U1a.btJ C ttfieNirk1G- (PeeroNfit iatf To Au SKtt LS eptcri aNi tS QS: ItC0( y CNoc-0 .fisPr, ta F is No.( -r VtICS pal/ t_z" IN/ P(2.-SEN'T ,n14- CftfeekTFQ t, ecr ot-te-ftt ND a. Voiev H-76 4-k 4cvnt Cc 'Arc— Stfp (situ_ 41/4-tcwz- 6i;-,t-fou Usc aF Ekg TIt.tc AT • Please send admission materials to: By returning this form by February 15 you will insure a prompt review of this student's application. The application is not considered complete until this information is received. Questions? Please call the Admissions Office a EFTA00090250 Past Applicant Academic Recommendation Please complete the loll r sr that the person to whom you are giving this form fill out Pa by February 15 to th Admissions Office. This recommendation should be complet your school who knows you well and is working with you in an academic classroom setting. ECG RA EAC HER 1 year In what capacity haw you known tlw penon completing this II 4wµ? MEATRE Agirg MICA Ca/UWE Whit o your primary area or interest? If music, list instrument Part II Teacher The above student is making application for admission to the Interlochen Arts Camp and is asking that you complete this confidential recommendation form. By returning this torn by February 15, you will insure a prompt review of his or her application. All information given will be treated in a strictly confidential and professional manner by theCamp. Please return the completed form promptly to: Admissions Office If you have questions. please call the Admissions Office at D Please check if you would '..ke to receive inure information about Interlochen Center fur the Arts and its year-round educational programs. litnaEs to of applicant's success; will ptniubly to a asps-nor stuckrit. O will probably be in above average stockist. O Will probably to an avenge stuckni. CMay have wow difficulty and should have scot's' guidance (Paw explain below). In relation m others in the candidates age group whom you have known, please check the appropriate box for each item: Academic Potential isuistanding O Very Good O Mont D Below Average Academic Achievement VOsutstanding O very Good O Average D Below Average Week/Practice !fables n Outstanding O Very Good ❑ Avenge D licks Avenge Initiative 02Kuutanding D Very Geed O Average D Below Average Gunton lot Others aZsiarding ❑ Very Good O Average O Below Avenge Gammon Sense Outstanding O Very Good O Average O Below Average Seriousness of Punose Visitsranding O Very Good ❑ Average D Below Average Reaction rot ins /lAntitand:ng O Very Good O Average O Below Average Self Ihseipline Outstanding O Very Good O Average O Moat Average Net Gompotibslity E1,4<aandeas ❑ Very Good ❑ Avenge O &Iola Average Conduct Outstanding O Very Good O Average O Below Average Integrity ywrxanling O Very Good O Average OBelow Average Over Please... EFTA00090251 m.nts lignatur• Additional comments, positive or otherwise, which the Camp should review when considering the applicant's acceptance.' • The Camp wishes to receive all information which will lead to a better understanding of the applicant and his or hat ability to fit i ing situation. 274) 11-1- abe— „e,k2sefrat "44. -741,4•#,I4eof-x- Are-itel frotiedt lee -a) Me4fate) "-e-itieree. ,e) __erne" 62-ate-e- Anad Scare Zip Mice Pax: Awn Code • Numb,/ z. L. By returning this form by February a you will insure a prompt review of this student's application. The application is not considered complete until this information is received. Please send admission materials to: Admissions Question? Please call the Admissions Office MI. EFTA00090252 EFTA00090253 EFTA00090254 1 a -SYS Nov 1 8 RECD x4-Application for Admission 'a674 is/19.6q950" About This nal Answer all questions below. The application deadline for first priority review IS February 15. Appli this date are welcome and will be reviewed on a rolling admission basis. See the -Admissions - section of the for complete application and financial aid information. Sorry, but we cannot process an incomplete application. Applicant Information Are youwipes for Poona& And' 0 Yes eNo Hart you imbed foe The Goytisolo, Scholar Program, ❑Ye ErNo International students: When providing telephone number, include the country code and the city code before the local telephone number. Have you previously attended Interlochen Arts Camp (excluding All-State), 2<ea 0 No Yeses) wended. I year/ I ly ee•KRCI%a then ages Nunes of utters AM their ages. Istornational Applicants Only Country of bath Secondary Language (if any) spoken at borne Full name a • contact sworn in the Unued Seams Ham Telephone: Area Code - Number (Fax available)) Parent or Guardian Information Father or Guardian Meet relationship) Name Occupation Horne Sam Addresa City State Zap N_—.e d Employer Office Telephone. Arm Ccde • Number Office Fax: Area Code • Number Personal Information N...e; in) yinniod pircholopol. medical or other condition requiring spun] women or can (sax ilenawallang. fear oh mars. bed wetting, etc She aditthis Q4.4rernely well and qpickly, .92W- wer+In and abut and Is How do you ftle your child in trestle of pascal Admit:mot, such as Li °elm scene ed self . abdity. indef....name.. ere a telt mei dent How do you rare your child in terms of wen] adratemeic , ErHas many fnends 0 Has few finis Has cot woo doe foods ErHas had close association with older children FVosanser children ahluktren Au or her own age NOIs Mere any phase of personal or social idiom...in which you hope Camp will sad' Plea give any information that might be helpful in guiding the educational and petunia development of your child. For Internal tifre L26 iglysic ACk • Sch.FA Amt gee C t' / ILK D per iv Tape Video • gag Hal rtiner i.I,d`c 1-20 iVic) work Pon so • • IA11000091 EFTA00090255 Private Lessons? High School Class Schedule Major Courses: At left: list Class Names in order of preference. Minor Courses: At right: list Class Names in order of preference. Private Lessons? Dance, Theatre & Visual Art Students VocALfrii4GENG 6 yea. Teacher's Stress Address City Stat What is your secondary instrument or interest' Number of tearsStudied Previous exp.-tense in Orchestra: Number of Years Pontoon Flufe : I year Previous experience in Bad: Number of Years I Postition List two difficult workst sued in orchestra. band or in ensemble within the paswar. 146411/ . 114 begin Very ottliiry yre . (.Tram rat c'ciri level of mask) List the two encsraanc.c solos youluve mastered orerour primary instrument or sung. MUSICRL ThEi+ TRP . blue. had accorkt oftnei4 of atifini expert era. T 50 +o "the %Bat is your primary interne Describe previous training and experience in this area School OCPrr-Et -tor rsos:ir and +VI extre "I've done Cosimerdets, meal pncor rfzs '"43 ing, ?lo.45 , S k its I .e+c • Dia been is blew Yer•• 'broad uvai Junior and Intermediate Class Schedule Students in the Junior Division will be assigned three periods of classes. including private lessons. Students who complete grade 6 have the option of selecting an additional class in place of land recreation. Intermediate Division students will be assigned four periods of <Lusts. including private lessons. Students who complete grade 9 have the option of selecting an additional class in place of recreation. Please refer to your division's section in the Camp Extra for a complete discussion of cltig. scheduling, prerequisites and audition requirements. '"CHORUS p l C.f-to Ru S 1. Session A (Intermediate: First Choice Major) Session B (Intermediate: First Choice Major) Please list Class Names MUSK,' L TI4sA THE in order of preference. f. Session A (Intermediate: Second Choice Major/ „2 Session B (Intermediate: Second Choice Mr) session A ac left fic?--49PERETTA i 0 314L)H517C.ilattiSn".„ 0 Camp session B at right. Te..,N Session A %.1- 4. Session A 4r Session B ,2' :;' Vocal_ cf-ENIQuEs '-v--- VOC AL- TECHNIQUES 30 moDest\i DANCE. (minor) 19:-:-fri ff---ebeiza DAI4CE. 6.14,0r) DEaNINC.7 WIND CLASC- R-UTE s* s' 8 SEG( NNW& W I mr) CL-fIsS- FLUTE S. Session A n 0 4 - 50-mM. lessons. Instrument: qq-o4 • 60-min. lessons. Instrument: 0,4. 60-min. lessons. Inn t: '11- a ocasn ' A- rha_4vr L-..) 1.2 ch Se ss t os_ I ( I High School students will be assigned five periods of classes. including private lessons. Please refer to your division's section in the Camp Extra for a complete discussion of classes, scheduling, prerequisites and audition requirements. Note: the Camp does not guarantee participation in more than one major activity. 1. First Choice Major Course Name Instrument (if applicable) S. Minor Cosine Name 2. Second Choice Major Count Name !mina:lent(ifapplicable) 2. Minor Course Name 3. Third Choice Major Course Name r Instrument (if applicable) 3. Minor Course Name 4. Minor Count Name S. Minor Course Name 0 8-50-min. private lessons. Instrument: ❑ 8.-60.min. private lessons. Instnamenc Additional References given to whom? No application can be processed without the signatures of Applicant and Parent or Guardian. Send Admission Materials to: adm:sainns C1nIee Name a person in receipt of Artistic Recommendation form 'C." Home Telephone: Area Code Number Name of person in receipt of Academic Recommendation form "D.' Home Telephone: Area Code - Number How did you Ent lent about Intrelochen• Optional. Applicant please indicate: ❑ Asian American 0 MinsA/man Amer an 0 Chwano(Mexican American CI Puerto Rican Credit Cud Name and Number Expiration Date Please enclose the required ion. See page 2 of the Camp Extra for a complete discussion of Camp cost and refund policy. Your check is payableYou may use a credit card: VISA, MasterCard. Discover and American Express. EFTA00090256 Application for Admission sn IN About This Form MAR 01 'Ma Application Checklist Please answer all questions below. Refer to the "Admissions" section of the Camp Extra (page 2) for complete application and financial aid information. The application deadline for first priority review is February 15. Applications m see warnme tnel will he reviewerl CM 2 MINIM 9rimittion baths. Send all materials to: Admissions Office Complete address and phone information are on the bac Sony, but we cannot process an Incomplete application. O Completed Application and Course Selection Form 0 Application Form Signatures 0 522S. Application Fee O Audition Materials Enclosed if Required (see your division's Course Descriptions in the Camp Extra). Camp Application Fee Signatures ,annig jfiflt4) ymr application uitbsva the ',porn of Appliano end ParntGuardian. Please enclose the required $225. with your application. Make checks payable to charge the application fee to VISA, MasterCard, Discover or American Express. If you wish, you may Credit Card Name and Number Expiration Date Print Card Holder Name Card Holder Signature • Applicant Information What /IC you applying foe? 0 Junkie Session A 0 Junior Session B 0 Intermediate Session A 0 Intermediate Session B Advanced String Quartet Institute (Session A-High School only) 0 Creative Writing Institute (Session B.High School only) Non-U.S. students: When providing telephone number, include the country code and the city code before the local telephone number. Date of this Application State r Arm Code • Number Grade comp:sired by June. Social Security Number 0 No Have you pervvoirily attended Interred's-fa Arts Camp (excluding All.State)? Write years attended Fri end How did you fine learn about Interlochene Optional. Applicant please indicate: 0 Asian American 0 African American O Native American arCaucauan 0 Other, please specify: 2. 699,1, iqqc) 0 Mexican American 0 Puerto Rican 0 Asian Citizenship Information If you arc not a U.S. Citizen, please complete this section. Country of Birth Country issuing the passport you will use to travel Full name of a contact person in the United States Home Stmt Address State Zip Home Telephone: Ares Code • Number Fax Number. Area Cock - Number Teacher Information Name of current primary dittnritor in your,ti area. Home Street Address crzy flitaktiVkar E -7-Arigik7oR - State p Home Telephone Area Code - Number Fax Number. Area Code • Number Office Telephone' Area Code • Number For Internal Uinta Sch/FA NAudition 14000;18I 5 T PALI CL al a hi if-ev•76.-L MA) /fai EFTA00090257 Parent or Guardian Information Home Street Address \tint Employer and address City Stare Zap Off Telephone: Area Code • Number Office Faa: Area Cade • Number Financial Information If you are applying for aid. please fill our this section. Mother or Guardian Please Answer Father or Guardian PleasCAnswer Please attach a copy of your most recent Federal Tax Form 1040 to this form. At< yk, ..pplying for financial aid%O Yes IWNo Arc ycra Apr,:y:ng for The Governor's Scholar Program? O Yes ZKo Dora the student applying expect to be the recipient of any funds (scholarship. Bane. award or pnze) from any country. stare, organization or individual specifically for attendance at the Interlochen Arts Camp% ❑ Yes Er No If yes. name the title of award. source of award and amoont. What i Earnings this pear. Value of real estate. Earnings this year. Value of real estate. Please note unusual expenses or circumstances you would like taken into Choosing a Major All Juniors (grades 5-6) are designated as General Arts below. Intermediate Division (grades 6-9) and High Scl only minor courses, your designated major will be Gent programs in the Intermediate and High School Divisiol The information below must be completed it Junior Please refer to the "Junior Division- section in the Camp requisites and audition requirements. 1. Session A: Band or Siring Orchestra Imtrument 1. Session B: Band or Stnng Orchestra Instrument Intermediate Please enter the Major Code from the Camp Extra (i.e. DMODN or BCLAR- INET) Please refer to the "Intermediate Division- section in the Camp Extra for a complete discussion of major arts activities, course codes, class scheduling, prerequisites and audition requirements. I. Session A: (first choke major codennstnunent) S. &nil= B: (first choice major code/instrument) 2. Session A: (second choke major codeinstrument) 2. Session B: (second choice major tedefinstrurnent) High School Please enter the Major and Code from the Camp Extra. (i.e. TMUCL OR OVIOLIN) Please refer to the "High School Division- section in the Camp Extra for a complete discussion of major arts activities, daily class scheduling, prerequisites and audition requirements. 7W6arge PgioWcriew ) music& -rinuct_ L Fast Choice Major Course Name and Code Instrument (if applicable) saer ertenZ Moen. 2. Second Choke Major Course Name and Code Instrument (if applicable) 3. Third Choice Manx Course Name and Code Instrument (if applicable) INT000049 EFTA00090258 Course Selection Form About This Form Applicant Name This part of the application will be used for class registration. Your major will he determined through the Admissions process. You do not need to indicate your major on this page. Please complete the appropriate section to indicate classes that you would like in addition to your major. First Name Middle Lug Junior Please list class names in order of preference. Do not list according to time.' Remember to include all classes since there are no majors in this division. Students in the Junior Division will be assigned three periods of arts activities, including private lessons. Students who complete grade 6 have the option of selecting an additional arts class in place of land recreation. Please refer to the "Junior Division" section in the Camp Extra for a complete discussion of classes, scheduling and prerequisites. 1..Saston A: (first choice area of interns) I-Session B. (lint choke stn of insane) Session A: (second choice arm cruxes's.) 2. Session B: (second Omer area al inteiels) &Session A: (third choice) 3-Session B: (third choice) 4. Session A: (fourth choice) 4- Samuel B: (fourth choice) 5. Session A: (alternate choice) 0. Session B: (alternate choice) Private Lessons 0 4- 30 minuet lemons. (Instrument) 0 4 30 minute lessons. (Inumunem) 0 4 . 60 minute lemons. (Instrument) 0 4 . 60 minute lessons. (Sacrament) Poitnet Campers Only: Teacher preference for private lessons. Former (simpers Only Teaches preference for pr. lessons. Internals!. Please list only minor class names in order of preference. Do not list according to time. Please note that most majors will count as two periods of classes. Private Lessons Students in the Intermediate Division will be assigned four periods of arts activities, including private lessons. Students who complete grade 9 have the option of selecting an additional class in place of recreation. Please refer to the "Intermediate Division" section in the Camp Extra for a complete discussion of classes, scheduling, prerequisites and audition requirements. 1. Setae A: (fiat choice) 1. Session B. (line chart) 2. Session A: (attend choice) 2. Seams B: (mad choice) 3. Session A: (third choice) 3. Session B: (third choice) 4. Session A. (alternate choice) 4. Session B: (alternate choice) O 4 30 minute lessons. (Inutomms) 0 4.30 minute lessons. (Instrument) O 4.60 minute lessons. (Instrument) 0 4 - 60 minute Irma fimuument) O 4 .60 minute lessons with 2 ponds wage. (Instrumem) 0 4 - 60 minute lessons with 2 periods pactire.Onunienent) Forme, Campers Only: Trochee prefennce for minor leuom. Fan*. Campers Only Teacher preference for ptivase know.. High School Please list only minor class names in order of preference. Do artist according to time. Please note that most majors will count as two periods of classes. Private Lessons High School students will be assigned five periods of arts activities, including private lessons. Please refer to the "flesh School Division" section in the Camp Extra for a complete discussion of classes, scheduling, prerequisites and audition requirements. 0 eereitit L110 r KS hr) L Fi /Choice 1. First Altetnste 2. Second Choice 2. Second Alternate 3. Third enure 4. Founts Choice .4., Voice soprano 80 8 - 30 immure lessons. (Instrumea) 0 8 - 30 minute lasom. (Baronet's) C 8 - 30 minute lessons. (If second instrument) 0 8 • 30 minuet lessons. (If second Mt omen ) EFTA00090259 Artistk Information VOCAL - Softit 0 All students please answer: Why is your primary instrumenr or incerest? Number of Yean Studied Music Students: Personal Information Describe previous training and experience in this um, amt.< LRsr Yertos' eff..O2.Os eF Pair Athetuemediv rS I What is your secondary inurument or interest? Number of Yeats Studied Describe previous training end experience on this ant Perrino experience in Orchestra: Number of Years / Pcsirion Previous experience in Band: Number S Years I Position Eat SWO difficult works performed in orchestra, band or in ernernble within the pant year. Akth.04_)$ 40CaelIclie-ULL14 Lin the two mew dais We solos you bat mutant on your primary *automats or sung. Noce any Weal* psysnDhigica l (cal a other condition requiring special attention or careBuds as sleepwalking, feu obtains. bedwertinfi. etc.). g Oy ne. How do you rate your child in terms of personal admstrant, such as his or her sane of self worth, ability, independency. etc./ &t. reccnds and gioateLs ft-atil_last4leat's How do you rue rut child in terms of social adjsureneno? WHea many friends 0 Has few friends 0 Hu one or two thaw friends Mellen had close association wish *We children 63' Yowiter hildftn Erthildren his or her own age No Is there any phase of personal or social adjuwentat which you hope Camp will aid? Plane give any infamous% that might be helpful in purling the educational ad personal developownt of your child. Send all materials and direct inquiries to: When using U.S. Pond Service tend so: When wing Federal Express, UPS and Airborne Express mad to: MI= EFTA00090260