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20 15
INSTRUMENTAL CAMP
Enclosed:
Camp Information for Parents and Students
Nomination Forms
Consent Forms
Medical Form
Venue: Lake Keepit Sport & Recreation Camp
Camp Dates: 10 – 15 May 2015
Closing Date for Applications: 27 March 2015
Information for Parents and Applicants
New England Regional Band Camp
10 to 15 May 2015
This booklet will give you all the necessary information and applications forms.
In the past, this camp has accepted ALL applications. Hopefully we can maintain this
wonderful record.
Students should be able to read music and it is preferable that they have had at least 6
months on their chosen instrument.
Piano students are advised to apply for percussion. Percussion places may have to be
limited depending on the number of applications received.
If sufficient applications are received from string players, an orchestra will be formed.
Guitarists must play BASS Guitar. No parts available for guitar players.
Depending on the number of applications received, more than one band may be formed.
The needs of ALL students will be catered for.
Students in Years 5 –12 may apply. Exceptional Year 4 students may also apply.
Masterclasses for senior Music students. Year 12 students MUST bring at least one piece
to perform. Year 11 students should bring a piece to perform. Please bring the piano
accompaniment as there will be people there who can play it for you. Members of the staff
are experienced HSC Music markers who are prepared to share their knowledge and
experience to assist senior music students to maximise their marks at HSC.
There will be opportunities for other students to perform solo or small group items in a
concert situation each night during camp. Please bring the piano accompaniment with you.
Please supply a current email address for further communication.
If you receive no further communication, then your application has been accepted.
Applicants will only be notified if their application can not be accepted for any reason. If by
chance a student’s application is not accepted, all money will be returned.
This camp offers every student the opportunity to work with professional musicians in a large
ensemble and in tutorial groups. Students’ musical experience will be extended during an
intensive week of music activities. Students will be able to work with other students from across
the region and gain invaluable knowledge through this once a year opportunity. The camp will
cater for all students from beginners to the very advanced.
Further opportunities will be available as a result of student involvement in this regional activity:
Nomination for State Wind Band – Students will be nominated from camp to recognise their
commitment and dedication. Final acceptance to this state program will result in students
performing in the Sydney Opera House under the baton of State conductors at the NSW
State Instrumental Festival in 2015.
The band which performed in Hong Kong & Hawaii was selected from the camp programs.
Please complete all forms and return them to: Di Hall
Arts Coordination Officer
PO Box 370
TAMWORTH
2340
Payment can be made in three ways:
1. By cheque or money order made payable to Tamworth High School and sent to Di Hall,
PO Box 370 Tamworth 2340
$460 in full (GST incl)
OR
2.
Direct Deposit. Please send form without money. You will receive an invoice and the
information needed to pay by direct deposit. The invoice will display an invoice number
which needs to be quoted each time you make a payment. This will ensure that all
payments will be credited to you.
This fee covers the cost for food and accommodation which is set by Sport and Recreation for the
use of Lake Keepit facilities. This activity is supported from the New England Regional Arts Funds
to subsidise expenses.
If your child suffers from any illness in the four weeks preceding the Camp, please inform the
Camp coordinator by letter.
Please return to the coordinator:
 Nomination Form
 Medical Form
 Consent forms signed by parent, student and Principal
You can be promised a week of valuable musical, educational and social experiences.
You will greatly assist the organisation of this activity by observation of the closing dates.
All fees MUST be paid in full by 1 May unless prior arrangements have been made by contacting:
Di Hall,
Arts Coordination Officer
Phone: 67555063
Mobile: 0411704654
Email: [email protected]
INFORMATION FOR STUDENTS
Please keep this information
New England Band Camp - Sunday 10 May – Friday 15 May 2015 incl.
All communication will be made via email. Please supply a current email address.
ARRIVAL between 1.00 - 2.00 pm on Sunday 10 May. Please do NOT arrive before 1 pm
without prior notification. Please have lunch before you arrive. An extra charge will be levied if
lunch is required and I will have to notify the camp.
First rehearsal will commence at 3.30 pm.
DEPARTURE will be after the Concert which will begin at 1 pm and conclude by 3 pm on Friday
15 May 2015
VENUE: Lake Keepit Sport and Recreation Camp
Fitness Camp Rd
Gunnedah 2380
Phone: 67697603
BRING:
Bedding - Sleeping Bag OR 2 sheets and 1 pillowcase, blankets, doona. It could be
quite chilly at night so be prepared!
2 Bath Towels, soap, tooth brush & toilet articles
Cool/Warm clothes, sun hat (weather can be changeable)
2 pair of joggers (One pair for water activities)
Torch
Water Bottle
Musical Instrument, pencil and Music Stand.
Bass guitarists please bring a small amplifier.
Drummers do NOT need to bring a drumkit. You MUST bring your own drum
sticks.
Bring instrument care kit, spare reeds, strings, valve oil etc.
Waterproof jacket/raincoat
Camera (optional)
Please make sure that all your belongings are clearly labelled with your name.
Please ensure that your instrument is in full working order – check that tuning slides are
operational.
Mobile Phones will NOT be used during rehearsals. Inappropriate use of mobile phones will result
in the phone being held by staff for the duration of camp.
DO NOT BRING: Valuables, e.g. Ipod, spending money; no chewing gum.
The staff take NO responsibility for loss of personal items.
Any questions please call Di Hall, Arts Coordination Officer
Phone 67555063 Fax 67555020 Mobile 0411704654
PO Box 370 Tamworth 2340
Email: [email protected]
LATE APPLICATIONS RECEIVED AFTER 27 March 2015
will attract a $75 Late Fee
2015 NEW ENGLAND REGIONAL BAND CAMP
NOMINATION FORM
One student per form.
Please complete ALL information
Please Print
Name of Student……………………………………………………………………………………….
Age: ....................................... Date of Birth: …………………………………………………………
School Year (eg 5, 7,11)………………………………..….Sex: ……………………………………
School: ................................................................…………………………….....................................
Home Address: ………………………………………………………….…………...............................
Post Code: …………. Home Phone: ..............................Student Mobile Phone..........…………
Email address: ………………………….......................................................................................
(all future communication will take place through this email address. Please write clearly)
Instrument for Camp:……………………………………………………………………
Years of playing this instrument: ................................. AMEB Grade: ………………………………
Have you attended any other Camps?
Yes
No
Name camps you attended and year ……………………………………………………………………
Name ensembles in which you perform regularly………………………………………………………..
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Second Instrument (if applicable):.……………………………………………………………………….
School Contact Teacher: Mr/ Mrs/ Ms/ Miss ....................………………......................................
CONSENT FORMS
Please complete all information
Please Print One Form per Applicant
Name of Student:……………………………………………………………………………………………
Name of Parent (in full):……………………………………………………………………………………
Parent telephone: (Home)……………………(work)………..…………(Mobile)………………………..
Other Contact Person (if parent/guardian is unavailable):……………………………………………..
Phone:………………………………………………………
PARENT CONTRACT
I agree to my child’s attendance at the 2015 Band Camp, to its related conditions and to his/her
involvement in all activities arranged for the Camp and /or related activites.
In the event of accident or illness, I authorise the obtaining on my behalf, such medical assistance
as my child may require. I also undertake to pay Medical fees and cost of medication which may
be incurred while my child is attending.
I understand that my child must accept the behaviour standards required by staff and agree that
my child shall be disqualified from the Camp if these standards are not met. I agree to meet the
travel expenses that may be incurred.
I give permission for my child to participate in further regional activites related to camp in 2015 if
he/she is selected.
………………………………………………..
Signature of parent/guardian
………………………..
Date
GENERAL RELEASE DEED
I hereby give permission for the participation of my child in the production of project materials that
result from the Band Camp, and/or Tour. I authorise the Department of Education and
Communities to use, copy or adapt any photograph, sound, film or video recording of my child’s
participation for any educational and promotional purpose that Department of Education and
Training may determine.
……………………………………………………..
Parent’s signature
STUDENT CONTRACT
I understand that while at Camp, I will be under the supervision and management of the attending
teachers, parents, Camp manager and staff.
I accept that the Camp is smoke, drug and alcohol free.
I agree to maintain a high degree of courtesy, manners, maturity and respect. I understand that if
I do not, I will be liable for disqualification and returned home at my parent’s expense.
………………………………………………..
Signature of student
…………………………………
Date
SCHOOL AUTHORITY
I certify that this student is enrolled at this school and that he/she has my authority to attend the
Band Camp and/or further related activites.
……………………………………………………..
Signature of Principal
…………………………………
Date
NSW Sport and Recreation
Medical and consent form
Child
Participant details
Surname
Given names
Address
Postcode
Name of school
Date of birth
/
NSW Sport and Recreation customer no.
School year
Age
Male
Female
/
Are you of Aboriginal or
Torres Strait Island descent?
Are you or your parents from a
Non-English speaking background?
(statistical purposes only)
(statistical purposes only)
Yes
No
Yes
No
Program details
Program type (please circle)
Program number (if known)
School / Holiday / Community / Sporting / Recreation / Other
Venue
Program dates (from)
/
(to)
/
/
/
Parent/guardian details
Mother/guardian
Father/guardian
Guardian/other contact
Full name of parent or guardian
Home phone
Work phone
Mobile
Mobile
Mobile
Special/Dietary needs
Please identify any special needs or requirements not listed above
Has he/she had the Combined Diptheria Tetanus Toxoid booster injection?
(eg. diet, wheelchair access etc.)
Yes
No
Year
Has he/she been immunised against measles?
Yes
No
Year
Swimming ability
Strong – 50 metres unaided
Average – 25 metres unaided
Poor – 10 metres unaided
continued over…
Non-swimmer
Medical information
Does the participant suffer from any of the following?
Any allergic condition
Skin condition
Diabetes
Epilepsy, fits or blackouts
A disability or chronic illness
Asthma (include asthma plan)
Attention Deficit Disorder (ADD/ADHD)
Sleep walking
A current illness eg. flu
Bed wetting
Behavioural problems
Other
If yes to one or more, please give details (attach sheet if required)
Medicare number
Health care card number Pensioner health benefits card
Pharmaceutical benefits concession card
Position number
on Medicare card
Private health insurance fund
Number
Do you have ambulance cover?
Yes
No
Current medication
Time and Dosage – Please specify exact time of medication
Breakfast
Lunch
Dinner
Name
Time
Dose
Time
Dose
eg. Bricanyl
8am
2 puffs
12.30pm
2 puffs
Time
6pm
Before bed
Dose
2 puffs
Time
8pm
Other
Dose
Time
Dose
2 puffs
Notes:
1. Scheduled medication must be provided in the original container (as required by legislation).
2. All medications will be collected and administered by staff, unless notified in writing to the contrary.
3. Staff will supervise and register the taking of all medication.
Risk waiver
Privacy statement
Program date
Program name
/
/
Venue
I agree to my child's/ward's attendance at the above mentioned program.
In the case of an emergency, I authorise the program staff, where it is impracticable to
communicate with me, to arrange for my child/ward to receive such medical or surgical
treatment as may be deemed necessary. I also undertake to pay or reimburse costs
which may be incurred for medical attention, ambulance transport and drugs while my
child/ward is enrolled with the program.
I understand that although TSR and its service providers attempt to minimise any risk
of personal injury within practical boundaries, accidents do happen and all physical
activities carry the risk of personal injury. I acknowledge that there is an inherent risk
of personal injury in physical activities that will be undertaken as part of this program.
The NSW Department of Tourism, Sport and Recreation of 6 Figtree Drive, Sydney
Olympic Park, NSW 2127 will collect and store the information you voluntarily provide to
enable processing of enrolments for Centre programs. The information will be provided to
instructors of the program and their supervisors, where necessary, and you consent to
this disclosure. If you have been asked for information regarding Aboriginal and Torres
Strait Islander descent and cultural background, this information is voluntary and is being
compiled for statistical purposes only. Any information provided by you will be stored on a
database that will only be accessed by authorised personnel and is subject to privacy
restrictions. The information will only be used for the purpose for which it was collected.
Any information provided by you to the department can be accessed by you during
standard office hours and updated by writing to us or by contacting us on 13 13 02.
Media consent
Strike out whichever does not apply.
I agree to allow NSW Sport and Recreation to use my child's/my ward's name and any
photographs, sound and film recordings taken of my child/my ward at this program for
the promotion of the department's services and initiatives to the media and to the
general public.
Full name of parent or guardian
Full name of parent or guardian
Signature
Signature
Date
/
Date
/
/
For more information call
13 13 02
www.dsr.nsw.gov.au
October, 2005
For deaf, hearing or speech impaired people TTY (02) 9006 3701
/