JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2025 Music Creators Camp Application
Thank you for applying for the 2025 Music Creators Camp! Application submission is not a guarantee of acceptance.
Please fill out one application per student.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
How did you hear about us:
*
Printed Flier
E-Newsletter
Email
Family / Friend
Word of Mouth
Other:
Required
Student First Name:
*
Your answer
Student Last Name:
*
Your answer
Student Email:
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Student Gender Identity
*
Choose
Female
Male
Transgender
Non-Binary
Race / Nationality (select all that apply)
*
Black, African- American
White, Caucasian
Hispanic
Asian Pacific Islander
Native American
Middle Eastern
Other:
Required
Is your child in out of home care? (i.e. child does not live with biological or adoptive parents.)
*
Yes
No
Name of child's school.
*
Your answer
Please select your child's grade.
*
Choose
4th
5th
6th
7th
8th
9th
10th
11th
12th
Does your child receive free or reduced lunch?
*
Yes
No
Does your child have any physical disabilities that require ADA accommodations?
*
Yes
No
If yes, please describe the disability.
Your answer
Does your child have an IEP or receive special education services?
*
Yes
No
If yes, please describe below.
Your answer
Does your child have any medical conditions that requires them to take medication during the hours of 10am and 2pm?
*
Yes
No
Does your child have any food allergies or dietary restrictions?
If yes, please list below.
If no, enter n/a.
*
Your answer
Does your child receive music instruction at school?
*
Yes
No
Not sure
Does your child play any instruments or create digital music?
If yes, please list below. If no, please enter n/a.
*
Your answer
What is your child's experience / interest in playing or creating music?
*
Your answer
Next
Page 1 of 4
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms