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Summer Camp 2022: Enroll for Camp

About the Camp
Camp Programming
Schedule an Audition
Enroll for Camp
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Apprenticeship Program

Step 1 of 5

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Student Information
Student Name*
First Last
Birth Date*
MM slash DD slash YYYY
Student Cell Phone (if applicable)
We use this only in case of emergency on field trips.
School*
Grade Level (Fall 2022)*
Primary Address*
Street Address Address Line 2 City State ZIP Code
Primary Parent / Guardian / Caregiver Information
Primary Parent / Guardian Name*
First Last
Relationship to Student*
Email*
This email will be used for primary communication as it relates to summer camp.
Daytime Phone*
Cell Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Secondary Parent / Guardian / Caregiver Information
Secondary Parent / Guardian Name*
First Last
Relationship to Student*
Email*
Daytime Phone*
Cell Phone*

Emergency Contacts
Emergency Contact 1*
First Last
Relationship to Student*
Phone*
May this person pick up your child from camp?*
- Yes
- No
Emergency Contact 2*
First Last
Relationship to Student*
Phone*
May this person pick up your child from camp?*
- Yes
- No
Emergency Contact 3*
First Last
Relationship to Student*
Phone*
May this person pick up your child from camp?*
- Yes
- No

Camp Attendance
How did you hear about the Choir School summer camp?*
Is your child related to another child attending camp? If so, please indicate their name and relationship.*
Do you know of any dates your child is unable to attend camp? If so, please list them here.*
Camp Activities
What is your child's t-shirt size?*
Each camper will receive one free t-shirt. If you need additional t-shirts you may purchase them during the checkout process.
Please check all that apply regarding your child's musical experience.*
- My child is currently enrolled at the Choir School
- My child has little or no musical experience
- My child enjoys music
- My child has sung in a choir
- My child plays a musical instrument
Please describe your child's swimming level.*
- Non-Swimmer
- Beginner
- Intermediate
- Advanced
Do you have any remarks on your child's swimming ability or comfort level?
Is there anything else we should know about your child's interests or ability to participate in activities?
I give my child permission to participate in sports activities including swimming.*
- Yes I agree
I grant permission for my child to join other students and staff in visiting local sites within walking distance of the summer camp. No students will be permitted to leave the building alone and without adult supervision.*
- Yes I agree

Health Information
The following will be kept confidential and shared on a need-to-know basis only. In the event of an emergency, we will share this information with emergency medical personnel.
Student's sex assigned at birth*
- Female
- Male
Age*
Weight (lbs)*
Height (in)*
Allergies*
Please list your child's allergies to medications, foods, insects or any other substance. Indicate the reaction and what you do to treat it.
Current Medications*
Please specify the name, frequency and dosage of your child's current medications.
Health Conditions*
Please indicate any current health conditions for which your child requires treatment.
Recent Illnesses or Surgeries*
Please indicate any recent health events and any information we need to know about them.
Are your child's immunizations up to date?*
- Yes
- No
What is your child's Covid-19 vaccination status?*
- Vaccinated
- Not vaccinated
Month/Year of Last Tetanus Shot*
Does your child have health insurance?*
- Yes
- No
Medicaid Number (if applicable)
Insurance Company
Insurance ID #
Insurance Group #
Name of Child's Physician*
Physician's Phone Number*
Medical Release
The following information will direct the Choir School staff in following your directives for administering over-the-counter remedies to your child.
Please indicate when you would like us to call you prior to adminstering medication to your child.*
- Always Call: Call me before administering any medication to my child, even those marked as "Yes" below.
- Only for Exceptions: Call me only if you need to administer medications not marked "Yes" below.
- Never Call: You may administer any medications deemed necessary without calling me.
Choir School staff may administer the following over-the-counter remedies to my child if necessary during the course of Choir School activities. Generic formulations may be used. Please check all that apply.*
- Select All
- Acetaminophen (such as Tylenol)
- Ibuprofen (such as Advil)
- Benadryl
- Antacid (such as Tums)
- Cough syrup or drops
- Decongestant (such as Sudafed)
- General first aid, including anti-bacterial and anti-itch ointments.

Camp Payment
Have you ever been enrolled in Purchase of Care, Delaware's child care assistance program?*
- Yes
- No
Are you currently enrolled in Purchase of Care?*
- Yes
- No
I understand that to participate in field trips I must pay the $150 field trip fee.*
- I will pay $150 in full by June 27
Terms & Conditions
Drop Off & Pick Up*
I agree to drop off my child at the appointed times. I understand that failure to pick up my child could result in having the child released to social services. I understand that my child will only be released to the parent or legal guardian on this form, or a designated emergency contact listed on this form or submitted in writing to the Choir School.
- Yes, I agree.
Academic Information*
I will share child's end of year report card and related materials prior to the start of summer camp.
- Yes, I agree.
Illness*
I will not send my child to the program if they are sick. If my child is coughing heavily, running a fever, or otherwise visibly ill and not feeling well. I will keep them home and promptly notify Choir School staff.
- Yes, I agree.
Emergency Contacts*
I will provide a working emergency contact number and keep emergency information current at all times.
- Yes, I agree.
Emergency Medical Treatment*
I authorize emergency medical treatment for my child in the event I cannot be contacted to give permission to treat. I understand I will be financially responsible for the cost of such treatment.
- Yes, I agree.
Masking*
During the continuation of masking practices I agree to encourage and enforce proper mask wearing for my child at summer camp, which includes mandatory singers masks provided by the Choir School.
- Yes, I agree.
Covid-19 Vaccination*
I understand that my child must be fully vaccinated against Covid-19 to participate in this year's summer camp.
- Yes, I agree.
Change in Medical Information*
I agree to keep my child's medical information up to date at all times.
- Yes, I agree.
Child Abuse*
I understand that Choir School staff are obligated by state law (Section 904) to promptly report suspected child abuse or neglect to the Division of Child Protective Services.
- Yes, I agree.
Dismissal of Campers*
I understand that the Choir School reserves the right to dismiss, in its sole discretion, any camper whose conduct, condition, influence or behavior is deemed unsatisfactory or detrimental to the best interest of the camp or fellow campers. I understand that in the event of such a dismissal, there will be no refund for camp fees.
- Yes, I agree.
Promotional Materials*
I agree to allow the Choir School to use any of the following materials to promote the camp or other ventures directly relating to the Choir School's mission: photographs, videos or audio in which my child appears, and statements, article, names, music, art, photographs, audio recordings, films or videos created by my child and originating from the camp or camp-related activities.
- Yes, I agree.
Belongings*
I understand that the Choir School is not responsible for the loss of any of my child's belongings or equipment while in transit to camp or while participating in any camp-related activities.
- Yes, I agree.
Technology*
I agree to follow Technology Usage and Safety and the Guidelines for Acceptable Use of Technology by Students. I understand my use of Choir School technology resources is a privilege and requires proper online behavior.
- Yes, I agree.
Absense without Notice*
I agree to give at least 24 hours notice if my child is unable to attend a day of camp. I agree to pay a $15 fee if I fail to provide the required notice.
- Yes, I agree.
Disputes*
I understand that all claims or disputes arising from or related to this agreement shall be brought and maintained in the courts of the state of Delaware, and the I expressly submits to the jurisdiction of such courts. I understand that if I bring legal action against the Choir School, I will be responsible for all legal fees and court fees.
- Yes, I agree.
Release
I release the Choir School from liability for injuries that may occur during normal camp activities. I have fully read and agree to the terms and conditions stated by the Cathedral Choir School of Delaware in this application.*
Please type your full name to serve as your digital signature.

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The Choir School of Delaware is a registered 501(c)(3) organization serving at-risk students from the greater Wilmington area through music and mentoring.

302-543-8657

Copyright © 2020 Cathedral Choir School of Delaware, Inc.

Your ticket for the: Summer Camp 2022: Enroll for Camp

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Summer Camp 2022: Enroll for Camp

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