Camp Staff:Clare Mansell Director, Viola, ViolinJim Palmer Academy Director, ViolaSusie Hines Violin Kevin Ray BassJoel Schroter PercussionDana Newton Cello

CAMPER REQUIREMENTS: ENTERING MIDDLE SCHOOL - HIGH SCHOOL SENIOR. Younger students may be welcomed if they have at lwest 2 years experience on their instrument, and are able to read music proficiently. (Students will be grouped in regards to age, playing ability and friends in camp)

UPBEAT! AND UPBEAT! ACADEMY (ADVANCED STUDENTS): JULY 8-11 (weekdays)

HOURS: 8:30am – 4:00pm

Allatoona High School, 3300 Dallas-Acworth Hwy, NW, Acworth, 30101

Early Bird Tuition: MUST BE RECEIVED BEFORE or ON JUNE 1st: $230

Regular Tuition: Received AFTER JUNE 1st: $250

DEADLINE: JUNE 10th Special exceptions are possible! Please contact Clare Mansell at clare.mansell@cobbk12.org or (678)427-3502.

Please turn this page over to complete an application.

U P B E AT ! S T R I N G C A M P 2 0 1 3

Questions? Please feel free to call: Clare Mansell at 678-427-3502.

Please check out our awesome staff - 2nd to none!!!

Our camp will include:

WEST COBB AT ALLATOONA HIGH SCHOOL

Please find our application, pictures from last year, winning t-shirt designs, camper comments and information at www.atlantaviolins.com

Students, we want to see your artwork! Download a t-shirt contest form on the website, and submit a drawing. If your drawing is chosen for our 2013 Upbeat! camp shirt, your camp tuition will be refunded, and you will attend Upbeat! for free!

JULY 8-11, 2013

UPBEAT! STRING CAMP 2013 REGISTRATION DEADLINE: JUNE 1ST, 2013

(Late registration will be considered subject to availability)

Register in person or mail registration form and check made payable to:

Atlanta Violins 387 S. Atlanta St. Roswell, GA 30075

770-642-8111 Attn: Upbeat! 2013

Please find us on the web at: www.atlantaviolins.com

Name of camper: __________________________________ Age ___ M or F Parent Email: ___________________________________

Instrument: _______________________ School orchestra teacher spring 2013 (if applicable) ________________________________

Private techer (if applicable) _____________________________ School attending in Fall 2013 ________________________________

Number of years camper has played his/her instrument: _______ Number of years camper has attended Upbeat! (if any) _______

T-shirt size(please specify adult or children size): Child __S __M __L or Adult __S __M __L __XL

Name of parent or guardian: ________________________________________________________________________________________

Address: _____________________________________________

_____________________________________________

_____________________________________________

2 Phone numbers where we can reach you: _______________________________ ; _______________________________

In case of emergency, please list another contact person and their phone number: ________________________________________

Does your child have any Health problems of which we should be aware of: Yes: ______ No: ______ If yes,

please explain: __________________________________________________________________________________________________

_______________________________________________ has permission to participate in the Atlanta Violins Upbeat! String Camp. The Undersigned acknowledges that the Atlanta Violins Upbeat! and Clare Mansell, Jim Palmer, Susie Hines, Kevin Ray, Joel Schroter and Dana Newton do not provide any registrant medical or hospitalization insurance whatsoever and hereby waives any and all claims against the Atlanta Violins and Clare Mansell, Jim Palmer, Susie Hines, Kevin Ray, Joel Schroter and Dana Newton or any other per-son affiliated with the Atlanta Violins or the Atlanta Violins String Camp Program for injuries sustained while watching or playing in the camp or traveling to and from the camp, or participating in any leisure time activity. Each session subject to cancellation if minimum enrollment of 40 is not achieved.

Parent/Guardian Signature: _____________________________________________________________________

No participant may be dropped off before 8:00am or picked up after 4:15pm. Please indicate the person authorized to pick up camper if parent/Guardian is unable.

Name: __________________________________________________ Phone: __________________________________

WEST COBB AT ALLATOONA HIGH SCHOOL

THANKS FOR PRINTING LEGIBLY