Camper's
Information
Camper's Last Name:
Camper's First Name:
Camper's
Address:
City:
State:
Zip:
Phone Number:
(Please be sure this
number is operational!)
Parent's
Cell Phone:
Parent's
Email:
Verify
Email:
Camper's
Age:
Camper's
Date of Birth:
Camper's
Gender:
Select
Male
Female
Grade
(11-12 school year):
Select
4th
5th
6th
7th
8th
9th
10th
11th
12th
Type
of Registration
* Children must be 9
- 17 years old to sleep over.
Please
Click here for an explanation of registration terms
Select
Resident Week 1 Early Bird - $225.00
Resident Week 2 Early Bird - $225.00
Resident Both Weeks Early Bird - $450.00*
Day Camper with Activities Week 1 Early Bird - $200.00
Day Camper with Activities Week 2 Early Bird - $200.00
Day Camper with Activities Both Weeks Early Bird - $400.00*
Day Camper Week 1 Early Bird - $150.00
Day Camper Week 2 Early Bird - $150.00
Day Camper Both Weeks Early Bird - $300.00*
*Applies for both week discount package (one free t-shirt and up to 2 free DVDs, either one of each week or 2 of the same week) up to and including June 1st, 2012 . No longer applies
after this date. EXTRA T-SHIRTS AND ANY HOODIES BESIDE THE INCLUDED ONE FREE T-SHIRT MUST BE PREORDERED!
Would
you be willing to make a monetary donation to camp beyond the
registration fee? If so please enter the
amount. If not, leave blank.
****
ABOUT INSTRUMENTS AND LESSONS
****
Please read carefully!!!
The focus of camp will be on music and musicianship. Our
instructors currently have or are working toward a degree in
music education or music performance. Please note that we have a
limited number of string
instruments available for string players. All other instruments must
be
provided by the camper. Drummers must purchase a basic drum pad
and sticks prior to camp. All campers are
expected to play at
least at a beginner level. We
do not take very beginners with no previous experience on an
instrument! Please read the eligibility
document listed at the top of the page.
Instrument
** Due to decreased class enrollment, guitars are no longer offered at FMC . We apologize for the inconvenience. Camper assumes FULL responsibility
if he/she brings a guitar as a recreational instrument. Guitar MUST be acoustic or non-amplified electric. Amplifiers are NOT permitted.
Select
Violin
Flute
Clarinet
Saxophone
Trumpet
Trombone
Baritone/Tuba
Percussion
Vocals
Level
of musicianship as determined by private teacher or school music teacher:
Select
Beginner
Intermediate
Advanced
Emergency
Information
Emergency
Contact 1 Name:
Emergency
Contact 1 Phone:
Emergency
Contact 1 Relationship to Camper:
Emergency
Contact 2 Name:
Emergency
Contact 2 Phone:
Emergency
Contact 2 Relationship to Camper:
Emergency
Contact 3 Name:
Emergency
Contact 3 Phone:
Emergency
Contact 3 Relationship to Camper:
Medical
information that we should be aware of
If a child needs medication, we need to know the dosage and the times
to administer the medicine. All medication will be administered by
adults. The medication must be in the original container with the
instructions clearly written on the bottle. The bottle must have the
child's name printed on the label. Any medication must be given to the
registration person upon check-in.
(Skip if none)
Food
Allergies
(Skip if none)
Can
we administer TYLENOL if necessary?
Select
Yes
No
Can
we administer IBUPROFEN if necessary?
Select
Yes
No
Can
we administer an ANTACID if necessary?
Select
Yes
No
In
the event of a medical Emergency, and we can not reach you or your
contacts, do we have your permission to have your child transported to
the hospital?
Select
Yes
No
Camper's
Physician Name:
Camper's
Physician Phone:
Camper's
Parent(s)' Name(s):
If Resident or Day Camper with Activities, is
your child allowed to go swimming with the group?
Select
Yes
No
Does your child already have a paid membership to attend the Conyngham CVCO pool?
Select
Yes
No
If there is anything else we should know about your child, please list here. Be as concise as possible ; space on the registration
data file is limited.
If you are referring a
new camper or multiple children, please read below.
Extras and Discounts
Please tell us how you found out about us! Select
I'm a return camper
School
A friend
A relative
Standard Speaker
Times Leader
WYLN
Panorama Magazine
Facebook
www.Ferrwood.org
Other
*Applicable For Both Weeks discount package ONLY.
Do not complete unless you have registered as an EARLY BIRD 'BOTH WEEK' DAY or 'BOTH WEEK' RESIDENT camper.
Camper's T-Shirt Size:Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
*Applicable For Both Weeks discount package ONLY.
Do not complete unless you have registered as an EARLY BIRD 'BOTH WEEK' DAY or 'BOTH WEEK' RESIDENT camper.
DVD choice:Select
Week One Only
Week Two Only
Both
Are you registering more than one child for an extra $50 discount? Select
Yes
No
Make sure to pay full price for the first child and deduct $50 for every child thereafter!
If so, how many of your children will be coming to Ferrwood?
Select
2
3
4
5
Are you referring anyone to attend Ferrwood for an additional $25 discount if your referral successfully registers? Select
Yes
No
READ CAREFULLY : Please send in your child(ren)'s FULL tuition payment. Once your referral A.) successfully registers online and B.) sends in his/her tuition payment, you will be notified and receive the $25 per new referral discount in the form of a refund check. Should
4 of your referralls successfully register and pay, your child attends Ferrwood for one week FREE as a day camper, day camper with activities or resident camper.
So...SPREAD THE WORD!!
If you are new campers, please list each name with a comma in between: