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] 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 June 13—17 Book 2 Violin $400 June 17—21 Book 3 Piano $400 June 17—21 Book 3 Violin $400 June 21—25 Book 1 Violin $550 June 17—25 Book 3 Cello $400 June 21—25 Have you attended Blue Lake Suzuki Family Camp before? Yes No Parent Name _________________________________________ Phone (_________)___________________ Address _________________________________________________________________________________ City_______________________________________________________ County________________________ State___________ Zip__________________ Alternate Phone (_________)____________________________ 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____________ Home Teacher ___________________________________________________________________________ Teacher Address _________________________________________________________________________ Pre-Pre Twinkle Registration Name _____________________________________________________________________ Age_________ Non-Participating Children Attending Camp Name _____________________________________________________________________ Age_________ Name _____________________________________________________________________ Age_________ Tuition and Fee Calculation 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) ............................................................................ $____________ 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 $____________ 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 $____________ I’m enrolling in more than one session. Please subtract $75 $____________ Love Blue Lake! I’m enrolling by Valentine’s Day, please subtract $50 $____________ Registration Fee Down-Payment (non-refundable, one per application) ........................ $75 $ ____________ Total Amount Due for Camp = $____________ Amount Being Paid with Application ($75 minimum) $____________ Balance Due by May 12th $____________ Make checks payable to: Blue Lake Fine Arts Camp See reverse for credit card payment Blue Lake Suzuki Camp Registration: 2017 75

Blue Lake Suzuki Camp Registration: 2017

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Page 1: 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]

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 June 13—17 Book 2 Violin $400 June 17—21 Book 3 Piano $400 June 17—21 Book 3 Violin $400 June 21—25 Book 1 Violin $550 June 17—25 Book 3 Cello $400 June 21—25 Have you attended Blue Lake Suzuki Family Camp before? Yes No

Parent Name _________________________________________ Phone (_________)___________________

Address _________________________________________________________________________________

City_______________________________________________________ County________________________

State___________ Zip__________________ Alternate Phone (_________)____________________________

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____________

Home Teacher ___________________________________________________________________________

Teacher Address _________________________________________________________________________

Pre-Pre Twinkle Registration

Name _____________________________________________________________________ Age_________

Non-Participating Children Attending Camp

Name _____________________________________________________________________ Age_________

Name _____________________________________________________________________ Age_________

Tuition and Fee Calculation

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) ............................................................................ $____________

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 $____________

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 $____________

I’m enrolling in more than one session. Please subtract $75 — $____________

Love Blue Lake! I’m enrolling by Valentine’s Day, please subtract $50 — $____________

Registration Fee Down-Payment (non-refundable, one per application) ........................ $75 $ ____________

Total Amount Due for Camp = $____________

Amount Being Paid with Application ($75 minimum) — $____________

Balance Due by May 12th $____________

Make checks payable to: Blue Lake Fine Arts Camp See reverse for credit card payment

Blue Lake Suzuki Camp Registration: 2017

75

Page 2: Blue Lake Suzuki Camp Registration: 2017

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]

Blue Lake Suzuki Camp Registration: 2017 (Page 2)

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__________________________________________________________________

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.