MusicReach 2024 Summer Institute Interest Form
Let us know that you are interested!

Eligible students must be entering 6th-12th grade. No prior music experience is required!

Dates:
Dates: June 10, 2024 - August 1, 2024
Monday-Thursday

Time:
9a-3p

Location:
Frost School of Music

Transportation:
Bus transportation will be provided at no cost from AP Mays and Miami Arts Studio.

Students will receive a confirmation email prior to the start of the program with a form requiring a parent or guardian's signature. This form must be signed and sent to musicreach@miami.edu to confirm the student's participation in the program.

For more information visit https://musicreach.frost.miami.edu/community-programs/summer-camp/index.html 
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Student's last name *
Student's first name *
Student's middle name
Student's Date of Birth *
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/
DD
/
YYYY
Student's Gender *
Miami Dade County Public Schools ID # (put N/A if none) *
Student's Current School *
Current Grade *
Will you use the free transportation provided by MusicReach to and from the Frost School of Music? *
Student's Music Teacher Name and Email
What instrument(s) does your student play and would like to study at the Summer Institute? *
Do you have an instrument to use and bring to the program? *
If you answered no to the question above, please explain.
Which ensemble would you like to enroll in with your primary instrument? *
Help us make this camp the most interesting for you! Rank these electives based on your level of interest (course availability will vary depending on student responses). *
Very Interested
Interested
Neutral
Not Interested
Strongly Disinterested
Music Business Essentials
Songwriting Club
Introduction to Improvisation
Conducting Basics
Composing and Arranging
Music and Mindfulness (Introduction to Music Therapy)
Keyboarding
Choir (voice must not be primary instrument)
Entrepreneurship for Musicians (College & Career Prep)
Intro to DJing
Music Journalism Workshop
Hip Hop History
Musical Theater
Artificial Intelligence in Music
If there are any classes you'd like to see included in this years Summer Institute not listed above, please let us know here!

What is the child/youth’s preferred language for contact? (Please select only one) 

 *

What language(s) does the child/youth feel comfortable communicating in? (Select all that apply) 

 *
Street Address: *
City: *
Zip Code: *
Student's ethnicity *
Student's race *
Does child have health insurance? (ex., private insurance, KidCare, Medicaid) (If not, we may be able to help you find affordable coverage – call 211 or visit www.thechildrenstrust.org/parents/health-connect/insurance.) *
Student's primary parent/guardian (full name) *
Primary parent/guardian email address: *
Parent/guardian phone number *
Is this a cell/mobile phone? *

Caregiver preferred language for contact (Please select only one)

 *
Student email address: *
Student phone number
Is this a cell/mobile phone?
Clear selection
Does your child qualify for MDCPS free/reduced lunch? *
We want to get to know your child better so that we can provide the best possible experience in our programs. Please tell us more about your child… What are the main ways in which your child communicates? (Mark all that apply) *
Required
What, if any, help does your child receive at this time? (Mark all that apply) *
Required
What conditions does your child have that are expected to last for a year or more? (Mark all that apply) *
Required
If you marked “None of the above” on the previous question, please skip the next two questions...                        Do any of the conditions marked above make it harder for your child to do things that other children of the same age can do?
Clear selection
To support your child’s successful participation in this program, in what areas might s/he need extra assistance?
Please tell us anything else you think it is important for us to know about your child:
Emergency Contact #1 - Name *
Emergency Contact #1 - Phone Number *
Emergency Contact #2 - Name
Emergency Contact #2 - Phone number
Please state below any medical or behavioral conditions your child has or has had that should be considered.(Allergies, present medication, activities to avoid, behavioral characteristics/techniques, etc).
By typing your initials below you agree to the following statement: "I give my permission for this information to be submitted to The Children's Trust for program quality and evaluation purposes. The Children’s Trust provides funding for the program." *
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