2022 High School Summer Music Institute
District 186 is excited to offer a high school summer music experience for students who will be entering 9th, 10th, 11th, or 12th grade in August 2022. The camp is open to any student in the area who has instrumental music experience. There is no charge for students enrolled in District 186; a $40 tuition fee for non-District 186 students for the week of camp.
 
We want to make sure all of our band students are prepared for their next year of school! This summer music institute is available to any student who wants to improve his or her music skills. This summer event will be held in person at Springfield High School, 101 S. Lewis.

Summer Institute students will attend July 18-22 from 9:00 a.m. to 12:00 p.m. (Monday through Friday). A performance at the end of camp will occur on July 22.

As we work on the customized schedule for students and select music, we will need some information. Please fill out the form below for each student who is interested in attending the program. Your email will be recorded when you submit this form.

The deadline to register is Monday, July 11, 2021.

If you have questions, please contact Amy Minch, Fine Arts Coordinator, at amuir@sps186.org
Sign in to Google to save your progress. Learn more
Guardian email completing this form *
Student Last Name *
Student First Name *
Student Birthdate *
MM
/
DD
/
YYYY
Gender *
Grade for the 2022-2023 school year *
Student Address *
Guardian Last Name *
Guardian First Name *
Relationship to Student *
Parent/ Guardian Address *
Parent/ Guardian Cell Phone (preferred) or Work Phone *
Parent/ Guardian Email Address *
Alternate/Emergency Contact Name *
Relationship to Student *
Name of person picking up student
Does your student take medication during the music institute hours? *
If you answered yes to the question above, what medication does your child take?
Does your child have any allergies? *
If you answered yes to the question above, what allergies does your child have?
Can your child participate in any interviews, photographs, videotaping or website in respect to school, news stories, or instructional/informational projects or programs? *
Do you need assistance in finding a carpool for transportation to and or from school for the week? *
What is your child's primary band instrument? *
How many years has your child played this instrument? *
Does your child currently take private instrument lessons? *
What school did your child attend for the 2021-2022 school year? *
I understand that the District 186 Student and Family Handbook applies to the summer music institute. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Springfield Public Schools.

Does this form look suspicious? Report

Google Forms