2025 Efective Music and Arts Camp

2025 E•ƒ(ec)tive Music & Arts Camp

Please complete the following information for your child to be enrolled in E•ƒ(ec)tive Music & Arts Camp at Little Beach Amphitheater in Minturn, Colorado

Session I:
Monday, July 21 - Friday, July 25, 2025
Mon. – Thur. 9:30am- 3:30pm;
Fri. 9:30am – 12:30pm with a concert at noon

Session II:
Monday, July 28 - Friday, August 1, 2025
Mon. – Thur. 9:30am- 3:30pm;
Fri. 9:30am – 12:30pm with a concert at noon

Cost: $325 per child, per session. Scholarships are available, for those with financial need. Please reach out to efec@efec.org for more information.

Pay here and write your camper(s) name(s) where it asks for phone number. Thank you!

Student Name

Date of Birth:

Gender:

Camper's T-shirt Size

Please describe any allergies, physical disabilities, learning disabilities, and/or physical, mental, psychological challenges:

Select the Session to attend:

Session I: Monday, July 21 - Friday, July 25, 2025 Mon.– Thur. 9:30am- 3:30pm; Fri.9:30am– 12:30pm with a concert at noon

Session II: Monday, July 28 - Friday, August 1, 2025 Mon.– Thur. 9:30am- 3:30pm; Fri.9:30am– 12:30pm with a concert at noon

Parent/Guardian Information

Parent/Guardian Name:

Relationship:

Primary phone

Cell phone:

Email address:

Emergency Contact Information

Emergency Contact Name:

Emergency Contact Relationship:

Emergency Contact Phone Number:

Please list those adults to whom your child may be released. We will only release your child to an individual listed:

How will your child get home from our program?

Physician Name:

Physician Phone Number:

Medical Emergency Policy: In the event that I cannot be reached in an emergency, I agree to accept any and all determinations of need for medical assistance and/or administration of medical attention deemed necessary by Summer School of Rock representatives. I hereby give permission to the medical personnel selected by Summer School of Rock representatives to secure any and all medical, hospitalization, dental, and/or surgical treatment. In the event that such medical attention is needed from a healthcare provider all costs shall be the responsibility of the parent or guardian.

Yes, I agree

No, I do not give my permission

Media Release: I hereby give Summer School of Rock Day Camp and EFEC to use film, videotape, and/or photographs of the above mentioned minor for lawful promotional and informational purposes.

Yes, I agree

No, I do not give my permission

Agreement to Waive Legal Rights: In consideration of being permitted to take part in the activity set forth herein, I expressively agree as follows: I hereby acknowledge the activity set forth herein contains dangers and risks and may result in injury to the participant. I hereby assume all risks of personal injury or death and property damage from any causes whatsoever arising while my child or I are participating in such activity. I or my child are in good health and physically able to participate in said activity. I agree to waive and release the Education Foundation of Eagle County and their trustees, employees, agents, servants, volunteers, and all representatives and sponsors from any injury I or my child may sustain or by the use of equipment I may use at Little Beach Amphitheater.

Yes, I agree

No, I do not give my permission

Parent/Guardian Signature:

Questions concerning the camp? Please contact Tessa Kirchner 970-390-0966

* Each student who attends camp will receive a t-shirt, and Ukulele.
* Students must bring a lunch, snacks, and water every day; hats, sunglasses, and sunscreen are recommended.

Parent/Guardian Information

Emergency Contact Information

Questions concerning the camp? Please contact Tessa Kirchner 970-390-0966

* Each student who attends camp will receive a t-shirt, and Ukulele. * Students must bring a lunch, snacks, and water every day; hats, sunglasses, and sunscreen are recommended.

* Each student who attends camp will receive a t-shirt, and Ukulele.
* Students must bring a lunch, snacks, and water every day; hats, sunglasses, and sunscreen are recommended.