NATIONAL HOMESCHOOL MUSIC ENSEMBLES

STRINGS CAMP APPLICATION SUMMER 2017

 

Family Name...............................................................................................................................

 

Student & Birthday.......................................................................................................................

 

                        ...........................................................................................................................

 

                        ...........................................................................................................................

 

Address: ......................................................................................................................................

 

City: ................................................... County: ................State: ........... Zip: ...............................

 

Telephone: Home: ............................................Work: .................................................................

 

Cell Phones..........................................................................................................................

 

E-mail addresses: ....................................................................................................................

 

            ........................................................................................................................................

 

NHME Strings Camp will take place at the Pittsfield Grange in Ann Arbor, on Ann Arbor-Saline Road, from June 5 through June 9, from 9 a.m. to 3:30 p.m..The cost of Strings Camp is $100.

Please send applications to:

                        Katherine Johnson

                        National Homeschool Music Ensembles, Inc.

                        712 Oxford Street

                        Ypsilanti, MI  48197-2146

For answers to further questions, telephone Katherine Johnson at 734-905-7282

or write Don Dobrosky at doby7777@gmail.com or call Don at 517-423-4314.

Please send applications ASAP; we need to know how many students to prepare for.

_____________________________________________________________________________

 

NATIONAL HOMESCHOOL MUSIC ENSEMBLES  MEDICAL RELEASE FORM

 

            This medical release form is being granted for (students)_________________________________________________________________ ____________________________________________________________________________

from June 5 to June 9, 2017 during the course of the NHME Summer Strings Camp 2017. 

            If my child should need medical assistance, I hereby grant premission to the staff of NHME to obtain medical treatment.  The emergency numbers that I wish to have contacted are:

            1.  _____________________________________________________________

            2.  _____________________________________________________________

My family physician is ___________________________________________________

Physician's phone number: _______________________________________________

                                                Signed, _________________________________________

                                                Date  ___________________________________________

Additional information may be added on the back of this form.