CATHOLIC SCHOOLS BAND CAMP

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1 CATHOLIC SCHOOLS BAND CAMP If you wish to Register for Band Camp, please follow the steps below. Download the Registration Packet and fill out the forms. Make sure that all forms are completed and signed. Attach a copy of your health Insurance Card to the Permission Slip. Should your child require Emergency Medical Help, the Hospital will not even administer as much as an aspirin without it. Pay special attention to the What to Bring letter. Once you have completed all of the forms and attached the Insurance Card, make a check for $ per student payable to: Catholic Schools Band Camp and mail to: Catholic Schools Band Camp P O Box 858 Palatine, IL Use a #10 envelope. Do Not send Priority" or Registered or any other form of mail. Last year there was a problem due to objects too large for the box You will be notified by of your acceptance. PLEASE NOTE: Last year we had 75 children at Camp. Of that 75 one-third of them registered during the last week of May. This made ordering supplies. Ordering music and finding enough Counselors VERY difficult. This year we have decided that we will hold all checks until May 31 and if we do not have 70 campers registered by May 31, we will destroy all checks and Registration Forms and there will be no more Band Camps. Please send the Balance due by May 31 Should you have any questions, write me at or Mr. Mlynarski at

2 BANDCAMP REGISTRATION FORM Non-Refundable deposit of $ per camper must be included with each application. Please use a separate form for each child. IF YOU DO NOT INTEND ON YOUR CHILD STAYING FOR THE ENTIRE CAMP (Sun thru Sat.) TERMS REGISTER. DO NOT APPLICATION FOR REGISTRATION CATHOLIC SCHOOLS BAND CAMP please print Camper s sex Name ( ) Address City State Zip (please print very clearly) School Home Telephone ( ) Cell ( ) Instrument Serial Num. Type Yrs. in Band Age Grade As of MAY 2018 Shirt Size: Circle one Adult Sm. Adult Med. Adult Lg. Adult XL Adult XL check to order Camp Registration $ (per student) MAKE CHECKS PAYABLE AND MAIL THIS FORM TO: Catholic Schools Band Camp $ P.O. Box 858 Palatine, IL PLEASE TEAR OFF AND RETURN IF YOU WANT A SOUVENIER HAT NAME PLEASE ORDER A HAT FOR ME. (INCLUDE A SEPARATE $10.00 CHECK FOR THE HAT

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4 PERMISSION SLIP DURING THE WEEK OF JULY20 TO AUGUST 4, 2018 I, HEREBY GRANT RICHARD N, CASE Print parent's name AND RICHARD MLYNARSKI, DIRECTORS OF CATHOLIC SCHOOLS BAND CAMP, TO RELEASE ALL MEDICAL INFORMATION SHOULD MY CHILD,, Print child's name NEED EMERGENCY MEDICAL ATTENTION. IN ADDITION, I CONSENT THAT RICHARD CASE AND/OR RICHARD MLYNARSKI MAY GRANT PERMISSION TO INITIATE EMERGENCY LIFE-SAVING INTERVENTION FOR MY SON/DAUGHTER N THE EVENT THAT I AM UNABLE TO BE CONTACTED BY PHONE. I HEREBY GRANT PERMISSION FOR MY SON/DAUGHTER TO ATTEND THE CATHOLIC SCHOOLS BAND CAMP TO BE JULY 30 TO AUGUST 5, IN GIVING THIS PERMISSION, I HEREBY RELEASE AND ABSOLVE FROM ALL LIABILITY AND OBLIGATION FOR INJURY OR ILLNESS SUFFERED BY MY CHILD IN CONNECTION WITH THIS CAMP, THE CATHOLIC SCHOOLS BAND CAMP DIRECTORS, THE CAMP STAFF, AND THE CHAPERONES DESIGNATED TO ASSIST WITH THIS TRIP. Date Custodial parent's signature PLEASE ATTACH A COPY OF YOUR INSURANCE CARD HERE THIS IS A MUST FAILURE TO DO SO WILL CAUSE Address YOUR APPLICATION TO BE RETURNED AND YOUR SPACE City State Zip COULD BE LOST I ALSO FULLY UNDERSTAND THAT THE DEPOSIT OF $ PER STUDENT IS NOT REFUNDABLE UNDER ANY CIRCUMSTANCES. SHOULD A STUDENT DECIDE NOT TO ATTEND CAMP AFTER JULY 15, THERE WILL BE NO REFUND OF CAMP FEES PAID ( ) ( ) CELL NUMBER HOME PHONE ( ) ( ) EMERGENCY NUMBER WORK PHONE PLEASE MAIL THIS FORM BACK TO US AT: CATHOLIC SCHOOLS BAND CAMP P 0 BOX 858 Palatine, IL BE SURE TO READ, SIGN AND RETURN THIS LETTER BY MAY 31, 2018

5 SUMMARY SHEET Whether you plan on attending our meeting or not, MAIL THE COMPLETED FORMS AND THE FEES TO US BY MAY THESE FORMS MUST BE RETURNED BY MAY 31ST 1) Fill out the enclosed MEDICAL AND BUNK PREFERENCE FORMS. DON'T FORGET TO LIST SHIRT SIZES AND A COPY OF YOUR MEDICAL INSURANCE CARD (both sides). YOUR APPLICATION WILL BE RETURNED WITHOUT THE INSURANCE INFORMATION. If you do not intend for your child to stay the entire week, resign NOW and your money will be returned. Please note: there are no cell phones allowed at camp. 2) Your balance should be listed on the cover letter. Please make a check payable to: Catholic Schools Band Camp and mall It to us at Catholic Schools Band Camp P.O. Box 858 Palatine, IL ) Should there be some problem preventing your sending the balance at this time, please send the forms and a note saying that you will pay the amount due at the meeting. REFUND POLICY THE DEPOSIT OF $ PER STUDENT IS NOT REFUNDABLE UNDER ANY CIRCUMSTANCES. SHOULD A STUDENT DECIDE NOT TO ATTEND CAMP AFTER JULY 15, REGARDLESS OF REASON THERE WILL BE NO REFUND OF CAMP FEES PAID. THIS YEAR WE WILL ASSIGN BUNKS IN THE DORMS. IF YOU WISH TO SHARE A BUNK WITH ANYONE IN PARTICULAR OR WISH TO BE NEAR ANY PERSON(S) PLEASE LIST THE NAME(S) BELOW. WE WILL TRY, I SAID TRY TO ACCOMMODATE YOU. STUDENTS NAME Please print I WISH TO SHARE WITH PLEASE PLACE ME NEAR SHOULD WE FAIL IN THIS ATTEMPT TO PLACE THE STUDENTS WHERE THEY WILL BE HAPPIEST, THE STUDENTS ARE FREE TO TRADE BUNKS BUT ONLY ON THE FIRST DAY AND WITH THE TOTAL AGREEMENT OF ALL PARTIES INVOLVED.

6 WHAT TO BRING TO CAMP MUSIC STUFF: Band instrument, folding music stand, pencils, and spring clothes pins (about 6). BEDDING: Bunks and mattresses WILL BE PROVIDED. Bring a pillow, pillowcase, sheets and blankets for a single bed OR Bring a sleeping bag and at top sheet. CLOTHING: OLD COMFORTABLE CLOTHES - - shorts, slacks, sweatshirts, etc. extra socks, TWO pair of shoes, FLIP/FLOPS may only be used in the Dorm or At the Beach. a hat, a flashlight, a jacket or sweater for cool evenings, and a swimsuit, No special clothing is required for the concert. Don t bring jewelry or Designer outfits. - THIS IS CAMP. If you must have a watch, buy a cheap one that you won t mind losing, if it happens. If you want a camera buy a disposable one and PUT YOUR NAME ON IT. PUT YOUR NAME ON EVERYTHING! MISC.: Toiletries - soap, shampoo, towels, toothbrush, toothpaste, sunburn lotion, insect repellent, and a plastic bag for dirty clothes. ALL IN PLASTIC BOTTLES WHERE NECESSARY AND WITH THE CHILD S NAME ON IT. RECREATIONAL EQUIPMENT: Some sports equipment will be provided; however you may bring whatever equipment is necessary for the games you like to play. ELECTRICAL: Hair dryers and curling irons are allowed, however, outlets are very limited. Radios, Walkman, MP 3 Players etc. are allowed at YOUR OWN RISK, but they must be battery powered and have a headset for personal use. THERE ARE NO CELL PHONES ALLOWED AT CAMP NO FANS, NO VIDEO GAMES, or DVD VIEWERS, NO EXTENSION CORDS, NO CELL PHONES MEDICATION: All medication will be checked in with and be dispensed by the Nurse. Please send all necessary instructions. List all medications to be taken as well as the times they are to be taken and place all items in a reseal able plastic bag bearing the child s name. DO NOT BRING: Skateboards, roller skate or blades, footballs, large radios, jewelry or any other valuables. There is nothing sold at camp, so there is no reason to bring money. PLEASE DO NOT ALLOW YOUR CHILD TO BRING ANY SNACKS, DRINKS, CANDY OR FOOD OF ANY KIND. EVERYTHING, INCLUDING SNACK FOOD AND CANDY, IS PROVIDED ANY FOOD BROUGHT TO CAMP WILL BE CONFISCATED AND DISPOSED OF. CAMP ADDRESS: Camp Lawrence 68 E. 700 North Valparaiso, IN PHONE: EMERGENCY INFORMATION DIRECTORS Rich Case Rick Mlynarski ARRIVE AT CAMP JULY 29 6 TO 7 PM CONCERT AUGUST 4 10:00 AM CAMP LAWRENCE HAS REQUESTED THAT VISITORS DO NOT BRING PETS TO CAMP ON THE CONCERT DAY LEAVE CAMP AUGUST 4 by 12:00 Noon

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