Song Academy Application

Student Details

First Name:

Last Name:

Gender:

Street Address:

Street Address Line 2 (optional):

City:

Province:

Postal Code:

Birth Date:

Voice Teacher:

Voice Teacher Email:

School:

How Long Have You Been Taking Voice Lessons:

RCM Grade (if applicable):

Repertoire

Each singer participating in MUN Song Academy should prepare 3 songs from classical repertoire. Selections from this list will be worked and performed in master class and performances during the week.

Repertoire must include at least one song in a foreign language. One music theatre selection is also permitted.

Title: Composer:

Parent/Guardian

Name:

Work Phone:

Home Phone:

Cell Phone:

Emergency and Medical Information

Student MCP Number

Expiry Date

Physician

Physician Phone Number

1st Emergency Contact

Name

Relationship to student

Daytime Phone

Evening Phone

2nd Emergency Contact

Name

Relationship to student

Daytime Phone

Evening Phone

Does your child have any physical or medical conditions (including behavioral) or taking any medication which might impact or create a hazard while participating in camp which the institution, the instructors or supervisors of the camp should be aware? If yes, please explain:

I give permission for Camp Staff to give my child the following medications, if needed.

Tylenol

Advil

Cough Drops

Sudafed

Benadryl

Other (see below)

If you checked "Other", please provide name of medications not listed above that may be administered, including any prescription medication such as asthma or allergy medication. Prescription medication must be in original packaging which includes dosage.

Consent / Waiver

Please submit an MP3 audio recording of one art song selection. We ask you to submit a recording with your application so that our Song Academy faculty can get to know you as a singer. This allows them to develop a personalized program that suits your unique musical needs.

Send your recording to songacademy@mun.ca.

This program has limited enrollment. Late registration may be considered if space permits.

Questions? Email songacademy@mun.ca.

The information on this form is collected under the authority of the Access to Information and Protection of Privacy Act, 2015 (SNL2015 Chapter A-1.2) and will be used to process your application for the Memorial University School of Music Song Academy. Information collected may also be used to distribute Memorial University School of Music Program information, provided you have given consent to receive same. Information collected shall be kept and/or used for a period of one year, following which it will be destroyed. If you have any questions regarding the collection and use of this information, please contact the School of Music at 709-864-7486.

Emergency Authorization

Waiver

Media Release and Consent