UMass Lowell Symphonic Band Camp July 17-23, 2022
35 Wilder Street, Durgin Hall Suite 3, Lowell, MA 01854
Deb Huber, Executive Director (978) 934-4133
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SCHOLARSHIP INFORMATION & REQUIREMENTS
- Please see
Scholarship Application
page for additional details.
REGISTRATION FORM
-
Deadline:
Open until filled
Camp Week: July 18-23,
2021
Cost: click
here
STUDENT INFORMATION
*
Indicates required field
Student First Name
*
Student Last Name
*
How do you wish your name to appear in the concert program? (Include first and last names)
*
Primary Instrument
*
-
Flute
Oboe
English Horn
Clarinet
Bass Clarinet
Bassoon
Alto Saxophone
Tenor Saxophone
Baritone Saxophone
Trumpet
French Horn
Trombone
Euphonium/Baritone (TC)
Euphonium/Baritone (BC)
Tuba
String Bass
Percussion
Piano
Guitar
Bass Guitar (electric)
Percussionists Only: I have experience playing
*
Mallets
Timpani
General Percussion (Snare, Bass, Cymbals)
School Name
*
School City/Town
*
Gender
*
Male
Female
Date of Birth
*
T-Shirt Size
*
Small
Medium
Large
XL
2XL
3XL
Student Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip
*
Country
*
United States
Canada
Other
Student Email
*
Student Cell Phone Number
*
Please note: Student cell phone numbers will automatically be added to our Remind service.
CAMP ENROLLMENT for
2021
Our camp is "in person"
*
I understand
Untitled
*
ADDITIONAL INFORMATION
List any other concert band instruments you play here
*
Year of Graduation
*
How did you hear about the Mary Jo Leahey Symphonic Band Camp program?
*
Band Director
Friend
District/All-State Festival
UMass Lowell Open House
Advertisement
Other
Have you attended the UMass Lowell Symphonic Band Camp in the past?
*
Yes
No
If yes, check all that apply
*
2015
2016
2017
2018
2019
Other
*
PARENT/GUARDIAN INFORMATION
Parent First Name
*
Parent Last Name
*
Parent Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip
*
Home Phone
*
Mobile Phone
*
Parent Email
*
DIETARY CONCERNS
Make note of any dietary concerns below. We will endeavor to have appropriate snacks, but please feel free to bring your own to accommodate your food requirements.
Please select all that apply
*
No dietary concerns
Diabetic
Vegetarian
Vegan
Gluten free
Lactose intolerant
Allergy/allergies (please list below)
*
JAZZ ENSEMBLES
Students may audition for a jazz ensemble, which takes place during the masterclasses/jazz ensembles segment of the day. Students who do not audition for --or do not earn a spot in-- a jazz ensemble will be placed in an ensemble specific to their instrument. These ensembles will take place at the same time period in the afternoon.
Would you like to audition for a Jazz Ensemble?
*
Yes
No
Do you have experience playing in a Jazz Ensemble?
*
Yes
No
Please specify the instrument you wish to play in a jazz ensemble. Be specific
*
MA Residents
Have you as an individual auditioned for and earned a seat in a Massachusetts District or All-State festival? This does not include festivals that your school band has performed in.
*
Yes
No
What District are you in?
*
Northeastern
Eastern
Central
Southeastern
Western
What is the highest level Festival you have performed in?
*
Junior
Senior
All-State
All-Eastern
Out of State Students
INDIVIDUAL success - Have you As an Individual (not your band) participated in an Honor's Ensemble? (District/State or other) This does not include festivals that your school band has performed in.
*
Yes
No
Please list the ensemble
*
OTHER
Will you attend UMASS LOWELL in the fall of 2021?
*
Yes, I have been accepted and will attend UMass Lowell in the fall.
I have applied to UMass Lowell, but have not yet made a final decision.
I plan to apply to UMass Lowell for the 2021 school year.
No, I will not be attending UMass Lowell.
If Yes, what is your intended major?
*
Participation Agreement
Participation in this camp is a commitment to the ensembles and activities. I (my child) understand that I am expected to be fully present for the duration of the camp.
By checking this box, I (my child) acknowledge that I am expected to be fully present for the duration of the camp.
*
Yes
COVID-19 Information
Preventative measures will be put in place to reduce the spread of COVID-19
Students will be required to submit a medical form and agree to our social distancing policies.
We highly encourage all to be vaccinated. Those unvaccinated should wear a mask throughout camp.
Instrument Masks
All students will need to have masks and bell covers. Many sites now carry these including the sites linked below.
Students may purchase such from anywhere they would like, but must have them each day of camp.
KYT Music Double Layer Face Mask
Gator Double Layer Face Mask
Music and Arts
(search for instrument masks and/or bell covers)
Etsy
(Search for Instrument Masks)
Photo/Media Release
I hereby grant the UMass Lowell Symphonic Band Camp, irrevocable permission to record and use my child’s name and photograph, in all forms and media, including but not limited to publications, brochures, websites, magazines, exhibitions, videos, digital media, social media such as Facebook, Twitter and Instagram, or any other media, for the purpose of education, marketing, advertising, communication, public relations, publicity, training or any other lawful purpose. I hereby waive any right to payment, compensation or royalties arising out of or related to the use of my child’s likeness by the UMass Lowell Symphonic Band Camp and the University of Massachusetts Lowell.
I agree to comply with the behavioral standards of UMass Lowell / UMass Lowell Symphonic Band Camp, and respect
the underlying assumptions and principals upon which they are based. The Camp Director & Assistant Directors reserve the right
to dismiss a student from the program, without the possibility of a refund, for failure to comply with rules and guidelines provided
to them by the camp staff throughout the week. Parents will be contacted and are expected to pick up their child at any time in
which it is deemed necessary for the student to be removed.
By checking this box and typing my name below, I am electronically signing my Registration Form and agree to the above conditions.
*
YES
Student's Full Name
*
By checking this box and typing my name below, I am electronically signing the Registration Form and agree to the above conditions.
*
YES
Parent/Guardian's Full Name
*
Submit