ASU Music and Art Camp 2025

ASU Music and Art Camp 2025

The ASU Music and Art Camp is designed to assist school-aged students from local and surrounding communities in improving skills in music and art. This specially planned two-week summer program will help students to strengthen their knowledge and practical application of Music and Art Performance Techniques and develop skills which will prove beneficial in future academic and life scenarios.

If you have any questions about this application, please call Dr. Ken Trimmins, Program Director @ 229-500-2217.

PROGRAM OVERVIEW

CAMP DATES: JUNE 9-20, 2025

CAMP DAYS: MONDAY through FRIDAY

CAMP TIME: 8 AM - 4:00 PM

FINAL CAMP PERFORMANCES/EXHIBITIONS: JUNE 20, 2025

Camper Information

Last Name:*

First Name:*

Camper Date of Birth:*

Age:*

Gender:*

Home Address:*

Home City:*

State:*

Select

Zip Code:*

Parent / Emergency Contact Information

Parent Last Name:*

Parent First Name:*

Parent Email Address:*

Parent Cell Phone:*

Phone

Parent Workplace:

Parent Office Phone:

Phone

Emergency Contact Name:*

Emergency Contact Phone:*

Phone

Emergency Contact Person’s Relationship to camper?*

Camper Profile

Name of Camper’s School:*

Indicate area of camper interest.*

Music - Instrumental

Music - Vocal

Visual Art

Do you play an instrument?

Yes

What instrument do you play?

Have you ever had private instruction on your instrument?

Yes

Are you a Vocalist?

Yes

List all food allergies of camper:*

Is camper on medication that must be taken during camp hours?*

Yes

If yes, please list all medications*:

*Parents, please be advised that camp personnel are not able to administer or provide medications for campers.

Is there anything you would like camp personnel to know about this camper?

Personal Identifiable Information (PII) Notice:

All personal data and special categories of sensitive personal data collected or processed by Albany State University (ASU) must comply with the ASU Cybersecurity Program Plan, as authorized by the Board of Regents Policy Manual Section 10.4 Cybersecurity:

https://www.usg.edu/policies

Anyone suspecting his or her sensitive personal data has been exposed to unauthorized access, report your suspicion to:

LegalAffairs@asurams.edu

Otherwise, questions concerning GDPR can be forwarded to LegalAffairs@asurams.edu. Typing your name in the box below and submission of this application provides consent to and acknowledgment of the ASU Data Security and Privacy Policy.

Please check the box below to indicate that you have read and understood the PII policy above.

Personal Identifiable Information (PII) Consent:*

Parental Consent

By typing my name and checking the box below, I am giving Albany State University authorization to care for my child during the hours of the ASU Music and Art Camp for 2024.

Parent Consent - Name:*

By typing my name below, I am giving Albany State University authorization to care for my child during the hours of the ASU Music and Art Camp for 2024.

By also checking the box below, I am giving Albany State University authorization to care for my child during the hours of the ASU Music and Art Camp for 2024.

Parental Consent - Check*

Parental Consent Date:*

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