Eastern Shore Chapel Summer Music Camp
Please complete this form to register for the popular Eastern Shore Chapel Summer Music Camp. There are a limited number of spaces available for this camp, so please do not delay.

The camp will be held Monday, August 1, through Friday, August 5, and Sunday, August 7.

Summer Music Camp is open to children rising to Grades 2 – 7 in the 2022-2023 school year.

The daily schedule (9:00 a.m. – 12:30 p.m.) includes sessions on the Royal School of Church Music-Voices for Life training curriculum, choral singing, handbell ringing, guest musicians, religious formation, snacks, and supervised play. The camp concludes with music leadership during a 10:30 a.m. Sunday morning worship service on Sunday, August 7, 2022.

There are no fees associated with attendance at this camp.

The camp will be under the direction of Mrs. Holly Sunderland, Director of Music at Eastern Shore Chapel (HSunderland@easternshorechapel.org)

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Email *
Parent contact (last, first format) *
Contact email *
Contact mobile phone (area code-123-4567 format) *
Contact home phone (area code-123-4567 format) *
Home address (number, street, city, zip code format) *
Child #1 name (last, first format) *
Child #1 age (Date of Birth, preferred) *
Child #1 grade in AY22-23 *
Child #1 musical interests and background *
Child #1 t-shirt size *
Child #1 medical information and food allergies that we should note. *
Child #2 name (last, first format)
Child #2 age  (Date of Birth, preferred)
Child #2 grade in AY 22-23
Child #2 musical interests and background
Child #2 t-shirt size *
Child #2 medical information and food allergies that we should note.
Child #3 name (last, first format)
Child #3 age  (Date of Birth, preferred)
Child #3 grade in AY 22-23
Child #3 musical interests and background
Child #3 t-shirt size *
Child #3 medical information and food allergies that we should note.
Medical Release: In case of illness or accident, I give permission to have my child(ren) evaluated and treated by available medical personnel. I understand a reasonable attempt will be made to notify me in such an event. I also understand that no obligation or responsibility in regard to rendering treatment or medication is assumed or undertaken as a consequence of this activity; notwithstanding, the adults in charge have permission to authorize any medical care, which in their judgment, they deem necessary and to sign any medical forms necessary on my child’s behalf. I do hereby release Eastern Shore Chapel and all persons connected therewith from any liability, claim and expense related to any such condition, circumstance or treatment. *
Required
An emergency contact for my child(ren) is listed below with contact phone numbers: *
Photo/Social Media Release: I grant permission for Eastern Shore Chapel’s Music Camp leaders to take photos/video of my child(ren) during this event and to use those images in church publications, website and social media. I understand that photos and videos will NEVER be accompanied by captions or tags that include names or any other identifying information. *
Required
Permission to attend Pool/Pizza Party: 12:30 - 2:30 p.m., Friday, August 5, 2022, at 2732 River Rd, Virginia Beach, VA, 23454. Transportation to and from the party is the responsibility of the family. Please note: A life guard will be on duty. Additional details will follow.
A copy of your responses will be emailed to the address you provided.
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