Wickenburg Children's cultural Organization (WCO)
Orchestral Music Workshops
July 8 July 12, 2013
Workshop Location: Wickenburg High School
245 N. Tegner, Wickenburg, AZ 85390
(928) 684¨C7473
music@wco.org
Registration Form
Registration Deadline: June 30, 2013
Child's Name____________________________ Age_____ T-Shirt Size_________
(Child/Adult S,M,L,XL)
Parent's Name____________________________ Email_________________________
Mailing Address__________________________________________________________
Phone/Home_____________________________ Cell/Work_____________________
Registration Fees*: Music Explorers $40, Young Performers $75
*Limited number of scholarships are available based on need. Applications can be emailed to you or are available at the Little Red Schoolhouse located at 245 N. Tegner, Wickenburg. Open Tue-Sat, 10a-2p.
Please select the workshop you are interested in.
_ Music Explorers Workshop Monday-Friday. 9:00am-12:30
Registration Fee: $40
This workshop is designed for students ages 7 and older with little or no musical background or experience.
Students will be introduced to the orchestra instruments through demonstrations and hands-on experiences including: keyboarding, singing, rhythm activities, and instrument construction. Students will also enjoy presentations by local musicians.
_ Young Performers Workshop Monday-Friday. 9:00am-12:30
____ Violin ____ Keyboard ____ Guitar ____ Voice
Registration Fee: $75
This workshop is designed for students who play or are interested in playing an instrument. Students must provide their own instrument (instruments can be checked out from schools or WCO).
Students will have the opportunity to be part of an orchestral ensemble. Activities include: improving sight reading, technique, and note reading, games, and enjoying presentations by local musicians.
Instrument______________________________ Year(s) Played__________________
Instrumental Instructor____________________
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Wickenburg Children's cultural Organization
Orchestral Music Workshops
Medical Information and Release Form
Please Print Clearly
Medications currently being taken______________________________________________________________
*Please Note: Staff will not be able to administer medicine to children or hold medicine for them.
Allergies or reactions________________________________________________________________________
Restricted activities for this child_______________________________________________________________
Other comments____________________________________________________________________________
As parents/guardians of (Print Child's Name)_____________________________________, we hereby consent, in our absence, to any adult in possession of this Medical & Release Form consenting to, authorizing or approving any X-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment and emergency and hospital care to be rendered to our child under the general or special supervision and on the advice of any licensed physician, dentist, surgeon, nurse of paramedical person, and we agree to pay for such treatment. We also agree to indemnify and hold harmless such person who may be in possession of this Medical & Release Form, WCO and their boards, committees, officers, agents, and employees, including but not limited to the supervisors, counselors and director of the Wickenburg ChildrenĄ¯s cultural Organization Orchestral Music Workshop and any qualified medical person from any and all claims, demands, suits or judgments or actions of any kind arising out of our childĄ¯s participation in the program. Also we release any and all medical persons, institutions and organizations from reliance upon the consent authorization of approval of medical treatment for our child made by an adult in possession of this Medical & Release Form.
Parent or Guardian Signature___________________________________ Date_________________________
Participant's Name (Please Print) _______________________________ Home Phone___________________
Please identify the person(s) who will be picking your child up at the end of each session
________________________________________________________________________________________
Wickenburg Children's cultural Organization
Photography Release
I hereby grant to the Wickenburg ChildrenĄ¯s cultural Organization and to its employees, agents and assigns, the right to photograph and use the photo and or other digital reproduction of him/her or other reproduction of his/her likeness for publication processes, whether electronic, print or electronic publishing via the internet.
Child's Printed Name: __________________________________________________________________
I certify that I am the parent or guardian and have the aforementioned rights to assign.
Signature of Parent of Guardian: __________________________________________________________
Date: ______________________________
Wickenburg Children's cultural Organization
Orchestral Music Workshops
Parents are Important Here's how YOU can Help!!!
Parent Name_____________________________ Child Name__________________________
Phone/Home_____________________________ Work/Cell____________________________
Email Address____________________________
We are looking for parents to volunteer or assist in the following areas. Please indicate where you can help!
_ Assist the teacher(s) in the Exploration Workshop (help with craft projects, organizing materials,
distribute snacks, etc.).
_ I am a musician and I would be willing to demonstrate my instrument for a session.
My instrument is ______________________.
_ I am willing to provide a snack for a workshop session.
_ I can assist with the concert by (circle all that apply)
Set Up/Clean Up Video Taping Managing Sound System Type Concert Program
_ Your trash is our treasure. We need the following materials:
Oatmeal Boxes
Cereal Boxes
Cardboard Tubes (toilet paper, paper towels, wrapping paper etc.)
Bottles (glass, plastic)
Rubber Bands
Fishing Line
Cans (any size, clean vegetable or fruit)
Boxes (shoe, cigar)
Cooking Utensils (non-returnable spatulas, wood spoons, pots, pans, cheese grater etc.)
Gourds
Metal Trash Cans and/or Lids
Wax Paper
Wash Boards/Wash Tubs
Beads, Beans, Rice, Popcorn Kernels
