Music That Matters Summer Day Camp 2024 (cc)

Music That Matters Summer Day Camp 2024

Session 1: July 8-19, 2024
Session 2: July 22 – August 2, 2024
(sign up for one or both sessions)

FOR AGES 10-18

Plugged In is an inclusive music program that empowers young musicians to make positive change in the world with their music. Plugged In is open to any student regardless of their skill level, race, gender, sexuality, disability, religion, economic status, etc.

Completing our online registration form will take about 5 minutes. Please be aware, there is no option to save an incomplete registration form and return to it at a later time.

Questions marked with a red asterisk are required and must be answered before submitting your registration.

Plugged In is excited to have you participate in our Music That Matters Summer Day Camp. Together we can make music that changes the world!

Other *

How did you hear about Plugged In?

Student Information

Student Name *

First Name

Last Name

Preferred Name / Nickname

Pronouns

Please indicate what your preferred pronouns are below.

Student Birthdate *

mm/dd/yyyy

Student Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Student Email

Verify Email

Student Home Phone *

Student Mobile Phone

School Name *

Current Grade *

Enter grade number only

Does the student have a family member participating in Music That Matters Summer Day Camp 2024? *

Yes

Parent Contact Information

Parent 1 Name (primary contact) *

First Name

Last Name

Parent 1 Primary Phone *

Parent 1 Email *

Verify Email *

Parent 1 Employer

Parent 2 Name

First Name

Last Name

Parent 2 Primary Phone

If different than parent 1

Parent 2 Email

Verify Email

Parent 2 Employer

Emergency Contact Information

Whom should we contact in case of an emergency? If registering for the youth program, please provide an alternate contact to the student's parents.

Emergency Contact Name *

First Name

Last Name

Emergency Contact Primary Phone *

Provide the most reliable number for this emergency contact

Band Placement Information

Other *

Student's Primary Instrument

What additional instrument(s) is the student interested in playing? *

Check all that apply

Guitar

Bass

Drums

Keyboard

Vocals

Other

Other *

What additional instrument(s), if any, is the student interested in playing?

Is the student open to singing in their band? *

Yes

Other *

What style of music does the student prefer most?

What are some of the student's favorite bands? *

Are there other Plugged In students with whom the student would like to be in a band?

Provide first and last name. Separate students with a comma.

In order for the student to have the best possible experience at Plugged In, we strongly encourage you to share information regarding their medical conditions, special needs, behavioral and emotional concerns, allergies, etc.

PLEASE CHECK ALL THAT APPLY - (Information regarding a student may be shared with the Plugged In Directors and their teachers, and will otherwise remain confidential.) .

Autism Spectrum Disorder (ASD)

Attention Deficit Disorder / Hyperactivity Disorder (ADD/ADHD)

Depression

Anxiety / Social Anxiety

Allergies

Physical Limitation

Other

Other *

Please identify and describe the student's condition.

Would you like to be contacted by the Plugged In Inclusion Committee?

Plugged In is a fully inclusive program. The Plugged In Inclusion Committee acts as a resource for students/families that may need additional supports to ensure their best possible experience.

Yes

Would you like to be part of the Plugged In Inclusion Committee

Yes

Please share any additional information that would help with band placement.

Ex: prefers to be with older students, prefers to be with low-key performers, etc.

Please share any information that would be important for the band teacher to know in working with the student.

Ex: student excels in structured environment, student requires breaks, student is shy, etc.

Benefit Concerts

Plugged In holds a benefit concert at the end of every session. The benefit concert acts as a recital where students perform the sets they’ve been learning for an audience. In addition to the performance the benefit concert also gives students a unique opportunity to give back to the community. Each benefit concert raises funds and awareness for a charity chosen by the students. The concert shows students they can make positive change in the lives of others by doing something they love, like playing music.

Mark your calendars now!

Music That Matters Session 1 Benefit Concert: July 19, 2024

Music That Matters Session 2 Benefit Concert: August 2, 2024

Are you (the parent) interested in volunteering at Plugged In?

Parent volunteers provide support in all areas of Plugged In and are crucial to our continued success. Opportunities include joining our Board of Directors or sub-committees, helping with performance set-up and breakdown, marketing, and more.

Yes

Parent Volunteer Tasks

Please check all that apply

Marketing (hanging up flyers, community emails, social media, etc.)

Performance Production (transporting, setting up, and breaking down equipment, live sound)

Plugged In Board of Directors

Plugged In Committee(s) (Facilities, Finance, Inclusion, Development, etc.)

Parent Volunteer Skills

Do you have a particular skill that you would like to volunteer? ex: graphic design, book keeping, event planning, etc.

I'd like to be contacted about private instruction at Plugged In.

For more information about private instruction visit www.pluggedinband.org/programs/private-lessons

Yes

Policy

To participate in Plugged In you must read, understand, and agree to the following policies. If you have questions regarding any of the following policies please contact Plugged In directly.