Youth Band Boot Camp - Registration
Please fill out a separate form for each student under your care.

Students are expected to have at least a beginner background in the instrument they will be playing, as well as access to their own instrument (except drummers - but they should bring their own drum sticks). For piano players, if they have a keyboard they can bring that would be helpful, but let us know if you don't have one.

Note on COVID restrictions: We will be abiding by the NS COVID-19 Return To Day Camp Guidelines to ensure the safety of students,  which includes that students (and instructors) must stay home if:
º They are sick or symptomatic.
º They travelled outside of Nova Scotia in the previous 14 days.
º They are a close contact of a confirmed case of COVID-19.
º They are awaiting a COVID-19 test result.
º They have been told by Public Health that they may have been exposed and need to
self isolate.

The entire COVID protection Operational plan will be emailed to parents upon registration.

Cost: $20 can be paid by e-transfer to treasurermiddletonbaptist@gmail.com with the note "Youth Band Boot Camp" or by cash on the first day.
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What Instrument Do You Want To Focus On? *
Required
First Name *
Last Name *
Age *
Grade *
Student Email
Parent Email *
Parent/Guardian 1 Name *
Parent/Guardian 2 Name (Optional)
Home Phone number
Parent Cell Number *
Student Cell Number (Optional)
How Do You Plan To Pay? *
Health Card Number *
Health Card Expiry Date *
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Please list any allergies or health concerns your child has
Waivers & Conditions
Precautions will be taken for the safety and health of your child, but in the event of an accident or sickness, Middleton Baptist Church, their staff and volunteers are hereby released from any loss, personal injury, or damage to the named participant on this form or his/her property. In the event that your child requires medication, x-rays or treatment, the parent/guardian will be notified immediately. *Your child must be covered by Provincial Health Insurance or equivalent medical insurance.


By clicking the box and typing your name below, you understand that participation is voluntary, that pictures may be taken for the purpose of promotion of events with Middleton Baptist Church, and that you accept the above waivers and conditions. *
Required
Parent/Guardian Full Name *
Date *
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