JVL Summer School for Performing Arts (SSPA)

Application Form

Please fill in the application form. Alternatively, you can print the application form and mail to us together with the cheque - see the Application Page for instructions.

Applicant

First Name:

Last Name:

Date of Birth:

Age as of July 17, 2008:

Gender:

Male Female

Instrument:

Street Address:

City:

Province/State:

Postal Code/ZIP:

Phone:

E-mail:

Fax:

RCM Grade (if applicable):

Present Teacher:

Are you applying for financial assistance / scholarship?

Yes No

Parent / Guardian 1

First Name:

Last Name:

Home Phone:

Cellphone:

E-mail:

Will be accompanying my son / daughter?

Yes No

Parent / Guardian 2

First Name:

Last Name:

Home Phone:

Cellphone:

E-mail:

Will be accompanying my son / daughter?

Yes No

Courses

Principal Instrument:

Principal Instrument RCM Grade
(if applicable):

Elective Courses
(Fill in RCM Grade if applicable):

Select all that apply:	RCM Grade
Violin
Viola
Cello
Double Bass
Piano
Voice
Theory of Music
History of Music
Ear Training
Orchestra
Chamber Music
Violin Ensemble
Cello Ensemble
Accompaniment
Sing Out! / Musical Theatre

Educational Background

How long have you studied
your instrument(s)?

(1) years
(2) years

Name of your current private teacher (required):

Phone number of your current private teacher (required):

List the two most difficult solo works studied and performed:

List the composers of etudes you have studied:

How many years you have studied chamber music:

List chamber music studied and which works you have performed:

Violinists: If assigned viola in chamber music, do you own a viola you can bring?

Yes No

Questionnaire for Applicants of Sing Out! / Music Theatre

Principal instrument and level:

Age:

Have you ever had singing lessons:

Yes No

If so, how long did you study:

Choirs:

Voice type (if you know it) i.e. soprano, mezzo:

Level that you were working at (if you know it - i.e. Royal Conservatory grade 4):

Any acting experience/training:

Any dancing experience/training:

Favourite music theatre shows:

Favourite music theatre songs:

NOTE: Your favourite selections above will be considered when we put together the show

Other vocal music/styles that you like to listen / to

Favourite singers:

Would you like to aim to sing a solo or do you feel more comfortable in a small group:

Solo Group

Participants in Sing Out! / Music Theatre should bring comfortable black pants (girls should bring a black skirt as well as the pants) and black t-shirt or comfortable black top

Terms & Conditions/Waiver/Medical Form

I, (Name of Parent/Guardian) give permission for (Name of student) to attend JVL SUMMER SCHOOL FOR PERFORMING ARTS from July 17 – 27, 2008.

The SUMMER SCHOOL FOR PERFORMING ARTS program may include public performances and permission is hereby given for the students to take part in such performances without compensation. The SUMMER SCHOOL FOR PERFORMING ARTS may use photographs, statements, articles, names, music, art, films and videotapes of/by the students in promoting Summer School/Summer School related activities, publication, advertising and exhibitions.

I understand and accept the measures that the JVL SUMMER SCHOOL FOR PERFORMING ARTS has taken to provide a program of high quality, and I accept that my child will be expected to behave accordingly. The curfew is in effect from 11.00 pm and all students MUST be in their rooms at this time. No visitors are allowed in rooms after 11.00 pm. Also, no overnight guests are allowed. Room-check is conducted nightly, and violations are reported immediately to the director. Students are not permitted to possess and/or consume illegal drugs and alcoholic beverages of any type. The JVL SSPA reserves the right to expel any student for violations of JVL SSPA policy without refunding any fees paid. If my child participates in behaviour deemed unacceptable by JVL SUMMER SCHOOL FOR PERFORMING ARTS or Canadore College staff, or causes any damages to equipment and/or rooms that will require repair and/or an excess cleanup I am willing to incur the expense of that repair and of my child’s transportation back to Toronto.

The JVL SUMMER SCHOOL FOR PERFORMING ARTS will contact Parent/Guardian in case of serious sickness or accident. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the JVL SUMMER SCHOOL FOR PERFORMING ARTS staff to hospitalize, secure proper treatment for, and to order injection, anaesthesia or surgery for my child named above. I also hereby give the JVL SUMMER SCHOOL FOR PERFORMING ARTS permission to administer medication deemed necessary by the physician selected. I understand that the JVL SUMMER SCHOOL FOR PERFORMING ARTS assumes no liability for injury and accidents that may happen to my child or his/her belongings while traveling to and from Toronto or during our stay at Canadore College, North Bay.

I understand and agree that as a condition of the participants use of Canadore College facilities, he/she assumes all risk of personal injury, death or property loss resulting from any cause whatsoever including but not limited to the inherent risks of the program, breach of contract or breach of statutory, duty of care or breach of the Occupier’s Liability Act on the part of SUMMER SCHOOL FOR PERFORMING ARTS and/or Canadore College, its employees and agents. The participant agrees that, its employees and agents shall not be liable for any such personal injury, death or property loss which occurs outside the program parameters and releases SUMMER SCHOOL FOR PERFORMING ARTS and Canadore College, its employees and agents of all claims with respect thereto.

EMERGENCY CONTACT INFORMATION

	Name:	Phone:	Cell:
Parent/Guardian
Parent/Guardian
Other than Parent/Guardian

MEDICAL INFORMATION

Health Card No.:
Name on Health Card:
Medical Conditions (allergies, disabilities) - please provide details:

Additional information / Comments:

We, parents or guardians of the above student, acknowledge having received the Terms & Conditions and agree to accept full responsibility for the above student and to ensure that the above student will abide by them.