juilliard.edu/summerjazz

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1 Juilliard JAZZ Summer 2013 Camp in West Palm Beach, FL June for students in Grades 6-8 June for students in Grades 9-12 One-week programs for dedicated and disciplined students who are passionate about jazz music For details see Juilliard s Web site: juilliard.edu/summerjazz In partnership with of the palm beaches

2 Juilliard JAZZ Summer 2013 Camp in West Palm Beach, FL The Summer Jazz Camps in West Palm Beach, FL are one week programs for students who are dedicated, disciplined, and passionate about jazz. Located at Oxbridge Academy of the Palm Beaches, the program is designed to give young jazz musicians a taste of what a Juilliard Jazz student s life is all about and to help them refine their technique, improvisation and performance skills. Teachers include Juilliard Jazz faculty, current senior students and alumni. Instruments for the Juilliard Summer Jazz Camps in West Palm Beach: Trumpet, Saxophone, Trombone, Guitar, Piano, Double Bass, Electric Bass, and Drums. Please note: Guitar, Double Bass and Electric Bass students are required to bring their own instruments, amplifier and pick-up cables to all rehearsals and performances. There is no vocal program. West Palm Beach, FL June June Application Deadline: April 15, 2013 For details see Juilliard s Web site: juilliard.edu/summerjazz or call (212) ext. 7380

3 Summer 2013 Camps and Workshops West Palm Beach, FL June June Program Schedule The day begins with Musicianship Class followed by Individual Practice and Small Ensemble Class. After lunch, students have additional ensemble rehearsals, listening sessions, and a daily jam session. The camp concludes with a concert featuring all students. The daily schedule is from 9:00am to 5:00pm and includes individual practice time. Sample Days Day 1: 9:00am 12:00pm Placement 12:00pm Lunch 1:00pm Small Ensembles 2:00pm Listening Sessions 3:00pm Large Ensembles 4:15pm Jam Session 5:00pm End of Day Daily schedule is subject to change. Day 2-4: 9:00am Musicianship 10:00am Individual Practice time 11:00am Small Ensembles 12:00pm Lunch 1:00pm Small Ensembles 2:00pm Listening Sessions 3:00pm Large Ensembles 4:15pm Jam Session 5:00pm End of Day Day 5: 9:00am 11:00am Ensembles Rehearsal 11:00am 1:00pm Dress Rehearsal 1:00pm 2:30pm Lunch/Break 2:30pm Concert Run-Through 4:00pm Dinner 6:00pm 9:00pm Concert Music Requirements for Juilliard Summer Jazz Camps in West Palm Beach, FL Each camp will begin with placement into ensembles. Students should be prepared to: Play C Jam Blues by Duke Ellington Advanced students may choose a jazz standard from the list below: Blue Bossa Autumn Leaves Stella by Starlight Now s The Time Students may be asked to play 1 major and/or1 minor scale (2 octaves) Location All classes and concerts for the Juilliard Summer Jazz Camps will take place at Oxbridge Academy of the Palm Beaches, 3151 North Military Trail West Palm Beach, FL Students and parents are expected to make their own transportation arrangements; no bus service will be provided. Lunch and snacks will be provided as part of the tuition. The program schedule may be adjusted according to enrollment. No housing is provided. Please contact Oxbridge Academy of the Palm Beaches at if the student has special needs. Admissions The Summer Juilliard Jazz Camps will take place June 10-14, 2013 for Grades 6-8 and June 17-21, 2013 for Grades Applicants should complete the attached application; the application deadline is April 15, A completed application includes the application form and a $150 non-refundable, non-transferable tuition deposit (check or money order made payable to the Oxbridge Academy of the Palm Beaches). Tuition and Application Timeline Total Tuition $350 Tuition Deposit $150 (non-refundable/non-transferable) due by April 15, 2013 (Check made payable to Oxbridge Academy of the Palm Beaches) Application ALL LINES COMPLETED due by April 15, 2013 Remainder of Tuition $200 (non-refundable/non-transferable) together with Emergency Contact Form, Insurance Form, and Consent Form due May 15, 2013 (Check made payable to Oxbridge Academy of the Palm Beaches)

4 Summer 2013 Camps West Palm Beach, FL Application (Due by April 15, 2013) Camps (check one) June June Section 1: Applicant Information Please fill out the application completely. Should you have any questions during the application process, please do not hesitate to contact the Office of Jazz Studies at (212) , ext Name: Primary Address: Street Address Apt Number Home Phone Number Cell Phone Number Address Male Female Date of Birth: Age as of September 1, 2012: T-Shirt Size: XS S M L XL MM/DD/YY How did you receive the brochure and application form? (Please be specific) INSTRUMENT (circle one): trumpet tenor saxophone alto saxophone baritone saxophone trombone drums double bass electric bass guitar piano Section 2: School Information Name of School attended September 2012: School Address: School Phone: Music Teacher at School: Name of School attending September 2013: Grade Level in September 2013: Musical Background Primary Music Teacher: Years of Study: Have you taken private lessons? Yes No If yes, how long? Other Instruments played: Other Music Program(s) attended: Background Information Ethnic Background (optional): African, African-American Hispanic American, Latino Multi-racial (specify): Asian American Native American, American Indian Caucasian American Other (specify): Section 3: Parent/Guardian Information Child Lives with: (Circle One) Mother Father Both Other: Mother/Guardian Name: Primary Address: Street Address Apt Number Home Phone Number Work Phone Number Cell Phone Number Address (1) Address (2) Father/Guardian Name: Primary Address: Street Address Apt Number Home Phone Number Work Phone Number Cell Phone Number Address (1) Address (2) I certify that the information offered in this application is true and complete. Parent/Guardian Signature: Date: Mail application and $150 non-refundable/non-transferable tuition deposit (check or money order made payable to Oxbridge Academy of the Palm Beaches to: Mr. Cleve Maloon, 3151 North Military Trail, West Palm Beach, FL (561)

5 Summer 2013 Camps West Palm Beach, FL Emergency Contact Form (Due by May 15, 2013) Camps (check one) June June Applicant Name: Gender: Male Female Address: Street Address Apt Number Home Phone Number Cell Phone Number Date of Birth: MM/DD/YY Parent/guardian Name: Home Address: (if different from above): Street Address Apt Number Business name and address: Home Phone Number Business Phone Number Second parent/guardian Name: Home Address: (if different from above): Street Address Apt Number Business name and address: Home Phone Number Business Phone Number Emergency Contact Information: Please list an emergency contact, other than parent or guardian, who will be available to pick up child. Name: Relationship to residency participant: Home Phone Number Cell Phone Number Work Phone In the event a child needs to see a physician, the Oxbridge Academy of the Palm Beaches cannot be responsible for transportation to and from the doctor. The custodial parent or guardian will be notified to come and transport the child, or in the case of an emergency, the child will be transported by EMT services. In this document, Oxbridge Academy of the Palm Beaches means the sponsor of the activities in which the registrant engages in the school known as Oxbridge Academy of the Palm Beaches. Also in this document, school property refers to instruments and equipment owned by Oxbridge Academy of the Palm Beaches or The Juilliard School. Permission to Provide Necessary Treatment or Emergency Care: I hereby give permission to the medical personnel to order X-rays, routine tests, and treatment, to release any records necessary for insurance purposes, and to provide or arrange necessary related transportation, for me or my child. In the event my child experiences a medical emergency, and residency personnel try but fail to reach me or under the circumstances are without sufficient time to try to reach me, I hereby give permission to the physician or other medical personnel to secure and administer treatment, including hospitalization, anesthesia, surgery, and injections of medication for my child. As long as the medical treatment considered necessary in the situation is in accordance with generally accepted standards of medical practice for the particular type of injury or illness involved, I impose no specific limitations or prohibitions regarding treatment other than the following: Signature of parent or guardian Date: Relationship to residency participant: NAME OF PARENT OR GUARDIAN (PLEASE PRINT):

6 Summer 2013 Camps West Palm Beach, FL Insurance Form (Due by May 15, 2013) Camps (check one) June June Applicant Name: INSURANCE INFORMATION Is the participant covered by family medical/hospital insurance? Indicate carrier or plan name Group # Name of insured Relationship to residency participant Social security number of policy holder or insurance ID number Please submit a copy front and back of your health insurance card. Does your child have a Behavior Intervention Plan (BIP) at his/her school? Yes No Does your child take medication for behavior issues during the school year? Yes No If yes, will he/she be taking this medication at the camp? If yes, please explain below. Yes No Does your child have health problems? Yes No If yes, please explain: Please list special diet/food allergies: Allergies: Hay Fever Penicillin Drugs Insect Bites Nuts: what kind Asthma Food Other Please provide additional specific details PLEASE NOTE: Any accidents and illnesses must be reported to Oxbridge Academy of the Palm Beaches /Juilliard staff before the participant leaves the school each day. The camp participant is not allowed to possess any type of medicine on school grounds unless he or she has a letter of explanation. Please note the medication must be in the original prescription container/bottle with the name and an explanation note from the prescribing physician. Over the counter medication should be brought in the original container with a parent note of explanation. All explanation notes and medicines should remain with the camp participant at all times. The Oxbridge Academy of the Palm Beaches and Juilliard are not responsible for monitoring and dispensing medication. PARENT/GUARDIAN AUTHORIZATION: The camp participant described has permission to engage in all camp activities except as noted by me in a separate letter (to be submitted with application). The camp participant and his/her parent/guardian agree to abide by the rules and regulations set up by the Oxbridge Academy of the Palm Beaches for health, safety and welfare of the camp. The following violations of camp rules will result in immediate dismissal without refund of fees: 1) Leaving Oxbridge Academy of the Palm Beaches without permission. 2) Willful destruction of school property. 3) Use of drugs and/or alcoholic beverages. 4) Fighting and/or continued insubordinate behavior resulting in disrupting of the residency program. Parent/Guardian Signature Date Residency Participant Signature Date

7 Summer 2013 Camps West Palm Beach, FL Consent Form Camps (check one) June June Applicant Name: CONSENT FORM All scheduled activities (both on & off campus) are closely supervised. Please check yes or no for each statement, and sign at bottom of page. I give permission for my child s name, picture, or video clips taken of my son/daughter to be used in Oxbridge Academy of the Palm Beaches/Juilliard publicity or publications. Yes No I understand that I am responsible and financially liable for the medical care of my child. In case of an emergency and I cannot be notified, the school has permission to seek medical attention for my child. Yes No I agree that I will not hold the Oxbridge Academy of the Palm Beaches and The Juilliard School responsible for any accidents, injuries or other harm occurring to my child during the camp. Yes No Parent Printed Name Signature Parent/Guardian Date Completed emergency contact form, insurance form, and consent form must be received by May 15, Mail to: Mr. Cleve Maloon Oxbridge Academy of the Palm Beaches 3151 North Military Trail West Palm Beach, FL Questions? Please contact Mr. Cleve Maloon (561) or Marie Reese (561)

8 Joseph W. Polisi, President 60 Lincoln Center Plaza, New York, NY www. juilliard.edu In partnership with the of the palm beaches Photos: Brent Cline