Blue Lake Suzuki Camp Registration: 2017 Mail application with fees to: Blue Lake Fine Arts Camp Attention: Suzuki Family Camp Registration 300 East Crystal Lake Road, Twin Lake, MI 49457 Applications may also be scanned/emailed to: [email protected] PDFs only. Do not send jpg or photos. For ALL registration questions: Anne Kearney-Looman, Registrar (517) 930-5401 or [email protected] June 13—17 June 17—21 June 17—25 Book 2 Violin Book 3 Violin Book 3 Cello Have you attended Blue Lake Suzuki Family Camp before? Yes $400 $400 $400 Student, Housing, and Meal fees listed below are for one session only. If you are enrolling in more than one session, please make sure you multiply your fees per session. Student Lesson Fees: (per session) Student ................................................................................................................... each $175 $____________ Chamber Music (piano deadline: April 15th) ....................................................... ... each $60 $____________ Young Reader’s Orchestra ....................................................................................... each $40 $____________ Pre-Pre Twinkle Class .............................................................................................. each $45 $____________ Parent Piano Lessons .............................................................................................. each $50 $____________ Teacher Training (see amounts on page 8) ............................................................................ $____________ Enroll in one or more sessions: Session 1 June 14—17, Piano only Session 2 June 18—21, Piano and Strings Session 3 June 22—25, Strings only Teacher Training Courses: Book 2 Piano $400 Book 3 Piano $400 Book 1 Violin $550 Tuition and Fee Calculation June 17—21 June 21—25 June 21—25 No Parent Name _________________________________________ Phone (_________)___________________ Address _________________________________________________________________________________ City_______________________________________________________ County________________________ State___________ Zip__________________ Alternate Phone (_________)____________________________ Camp Housing Fees: (per session) Please mark first and second choice. See page 13 of the catalog or on the website here for details. Single Family, Self contained (minimum charge for each session, $180) Adult.............................................................................................................. each $80 $____________ Children 11 and under .................................................................................. each $60 $____________ Single Family, Shared Bath Facilities (in separate building) Adult.............................................................................................................. each $70 $____________ Children 11 and under………………………………………………………... each $50 $____________ Email ________________________________________________________Total # attending _____________ Student Registration(s) Name_________________________________________________ Age ________ Male Female Instrument_______________________ Young Reader’s Orchestra: Yes or Chamber Music: Yes Current Piece____________________________________________________ Current Book____________ Home Teacher ________________________________________ Phone (_________)___________________ Teacher Address _________________________________________________________________________ Name_________________________________________________ Age ________ Male Female Instrument_______________________ Young Reader’s Orchestra: Yes or Chamber Music: Yes Current Piece____________________________________________________ Current Book____________ Teen Cabin: available sessions 2, 3 only (12 and older) ..................................... each $80 $____________ Camp Sites available: See page 13 of the catalog or on the website here for a complete description of site amenities. Tent = $70; RV / Trailer = $85 Niblock Area: Tent Trailer or R.V. (length________).……..………..... ....... $____________ Lakeview: Trailer or R.V. (length________) ......................................................... $____________ Sousa Field: Not avail. Session 1 Tent Trailer or R.V. (length________)...$____________ Camp Meal Fees: (per session) Adult.............................................................................................................. each $80 $____________ Children, per session: age 5-11 (4 and under free)...................................... each $70 $____________ Home Teacher ___________________________________________________________________________ I’m enrolling in more than one session. Please subtract $75 — $____________ Teacher Address _________________________________________________________________________ Love Blue Lake! I’m enrolling by Valentine’s Day, please subtract $50 — $____________ Pre-Pre Twinkle Registration 75 Registration Fee Down-Payment (non-refundable, one per application) ........................ $75 $ ____________ Name _____________________________________________________________________ Age_________ Non-Participating Children Attending Camp Total Amount Due for Camp = $____________ Amount Being Paid with Application ($75 minimum) — $____________ Balance Due by May 12th $____________ Name _____________________________________________________________________ Age_________ Name _____________________________________________________________________ Age_________ Make checks payable to: Blue Lake Fine Arts Camp See reverse for credit card payment Blue Lake Suzuki Camp Registration: 2017 (Page 2) Mail application with fees to: Blue Lake Fine Arts Camp Attention: Suzuki Family Camp Registration 300 East Crystal Lake Road, Twin Lake, MI 49457 Applications may also be scanned/emailed to: [email protected] PDFs only. Do not send jpg or photos. For ALL registration questions: Anne Kearney-Looman, Registrar (517) 930-5401 or [email protected] General Policies and Information: Refund Policy: Written notice of cancellation must be provided to the registrar, postmarked no later than May 30 for return of all but the non-refundable $75 deposit. If written notice of cancellation is provided to the registrar by June 2, 50% of the total fees will be refunded; after June 4 there will be no refund. Confirmation and Further Information: A confirmation letter will be mailed shortly after your registration is received stating your balance due. Further information about the camp, program and items to bring will be emailed in May. If a Parent is Unable to Attend: Send the name and contact info of the adult responsible and enclose a notarized statement with the application releasing BLFAC and the adult at camp from any liability. Students who are 12 and older may stay in a Teen Cabin with a camp counselor. Additional recreational and social activities are planned for the students in Teen Cabins. Credit Card Information: Visa, MasterCard, American Express or Discover Please do not email your credit card information. Instead, contact 800-221-3796. Do not fax your application Cardholder’s Name_____________________________________________________ Session(s)_______ Card No.________________________________________________________ Exp. Date______/______ CVN: ________________ Billing Zip Code: _______________ Please Select one of the following (All Balances Due May 12th) Charge this Amount $______________ Charge Registration Fee Down-Payment only $______________ Charge total due $______________ Cardholder’s Signature__________________________________________________________________ 2
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