There is no cost to attend this camp and space is limited to the first 40 students who register. Please complete the form below by May 31. If you have any questions, please email the camp direct. 

Student Information

Student Emergency Contact, Health & Insurance

Please list any allergies. If not applicable, please indicate “N/A”.
Please list your child's physician(s) and phone #(s)
Please list your child's health insurance provider(s) and policy number(s)

Parent Contact Information

Policy Acknowledgements

Registration in a Ñî¹óåú´«Ã½ÊÓƵ Conservatory program indicates understanding and acceptance of our guidelines. Please  to read them.

Acknowledgment
By checking this box, I agree to follow all Conservatory guidelines and accept responsibility for all charges and fees that are incurred.

This document affects your legal rights - read it carefully.

I am registering for a Program of the Ñî¹óåú´«Ã½ÊÓƵ Conservatory during the program year (August-June). I acknowledge that the Program is voluntary and may involve certain risks, including those described below.

I understand that the Program involves, among other activities, rehearsing, performing, engaging in recreation, and, if applicable, traveling off campus. I acknowledge that these activities present certain inherent risks beyond Ñî¹óåú´«Ã½ÊÓƵ’s control.

I choose to participate in the Program understanding its associated risks, and I knowingly and voluntarily assume all risks of injury, illness, death, or damage to or loss of my property that may occur while rehearsing, performing, traveling, engaging in recreation, or any activities arising out of or related to the Program.

My participation in the Program is voluntary, and I understand that I may discontinue my participation at any time in light of the risks I am assuming.

I hereby forever release Ñî¹óåú´«Ã½ÊÓƵ, its trustees, officers, employees, and agents (the “Released Parties”), from liability for any negligent act or omission arising from my participation in the Program, including related costs, damages, claims, or assertions to which I or my family, estate, or heirs may claim against the Released Parties.

This Assumption of Risk and Release of Liability shall be construed in accordance with the laws of the State of Wisconsin, which shall be the forum for any lawsuits filed under or incident to this Release or the Program.

Acknowledgement

By checking this box, I, parent and/or guardian for the Participant, hereby agree on behalf of my minor child to the terms above, and agree to indemnify and hold harmless, Ñî¹óåú´«Ã½ÊÓƵ from any loss or liability they should incur in any way because of my child’s participation.

I am a Participant in a Ñî¹óåú´«Ã½ÊÓƵ camp. I give permission to Ñî¹óåú´«Ã½ÊÓƵ, and its partners and affiliates (collectively, “Ñî¹óåú´«Ã½ÊÓƵ”) to use photographs and/or video of my image (collectively “Image”) for marketing and promotion, including, but not limited to, Ñî¹óåú´«Ã½ÊÓƵ websites, newsletters, social media, and advertisements (including commercial endeavors).

In consideration for the benefit I received by attending the Ñî¹óåú´«Ã½ÊÓƵ camp and for other good and valuable consideration herein acknowledged as received, I hereby grant to Ñî¹óåú´«Ã½ÊÓƵ the perpetual, irrevocable and unrestricted right and permission to copyright, in its own name or otherwise, and use, re-use, publish, and re-publish my Image without restriction as to changes or alterations, and in any and all media now or hereafter known.


I also consent to the use of any printed matter in conjunction therewith. I hereby waive any right that I may have to inspect or approve the finished product and the advertising copy or other matter that may be used in connection therewith or the use to which it may be applied.

By checking this box, I, parent and/or guardian for the Participant, do hereby release, acquit and forever discharge Ñî¹óåú´«Ã½ÊÓƵ, its officers and employees from any and all demands, cause of action and/or judgments of whatsoever nature of character, past or future, known or unknown, whether in contract or in tort, for or damages of any kind or nature arising out of, in any way, the use of my Image for Ñî¹óåú´«Ã½ÊÓƵ business.
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