2012 Mid-Atlantic Sum
mer Dance Intensive
The Mid-Atlantic Summer Dance Intensive presented by CoMMotion in association with The School of Theatre and Dance at James Madison University
HOME :: Monday January 9, 2012
Mid-Atlantic Summer Dance Intensive Registration Form July 15th-28th, 2012 |
The Mid-Atlantic Summer Dance Intensive presented by CoMMotion in association with The School of Theatre and Dance at James Madison University 13097 Wisteria Drive, Lower Level, Germantown, Md. 20874 301-515-8908
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Location
Nestled in the inspiring and picturesque Shenandoah Valley of Virginia, James Madison University is a medium sized University about two hours west of Washington, D.C. on route 81 in Harrisonburg, Virginia.
Supervision
All campers are under the careful supervision of the CoMMotion camp staff. Counselors live in the residence halls with the campers, and closely monitor all aspects of camp life. No camper is left alone.
Teachers
The dance camp is co-directed by Bonnie Slawson and Dawn Hessler. Our unique teaching approach has helped to place over 30 dancers into University programs. The 2012 faculty will include Derrick Evans (choreographer for Sony Latin Records, dancer and rehearsal captain for Gus Giordano Dance Chicago and River North), Bonnie Slawson (Founder of Motion Mania Dance Theatre and CoMMotion), Dawn Hessler (CoMMotion faculty member), Cynthia Thompson (The School of Theatre and Dance at James Madison University and Thompson and Trammel), and Julio Matos, (Chicago, Steel Pier, Fosse and Women on the Verge).
Meals
Meals are served beginning Sunday, July 15th, for dinner and ending with Saturday, July 28th, breakfast.
Housing
Resident campers will be housed in the JMU Bluestone Residence hall. Boys and girls are housed separately. Campers must bring their own sheets, pillows, pillowcases, blankets and mattress pads for a single bed (extra long), as well as towels, washcloths, hangers and laundry bags. Coin-operated washers and dryers are available so please remember to pack quarters. For more details please refer to the packing list.
Non-Residential Campers
Our Non-Residential Campers program includes; all dance classes Monday-Friday, lunch for 10 days and the end of camp performance on Saturday July 28th.
Recreation
To balance the artistic experiences, there are opportunities for free recreation daily. Organized activities include Game Night, Water Park trip, Lip Sync, Camp Olympics, and Door Decorating (dancers should bring supplies to decorate with). We will also have an end-of-camp student show for family and friends Saturday, July 28th, 11:30.
Dress
Dress is summer casual. Dancers must bring at least 2 pairs of black leotards and pink tights, additional tights, loetards and footwear appropriate for ballet, modern, tap and jazz class (jazz sneakers, character shoes and jazz shoes), rehearsals and performance, plus cover-ups for meals. For more details please refer to the packing list.
Transportation
All campers will need to have their own transportation to and from JMU. Mid-Atlantic Summer Dance Intensive provides shuttles from the Staunton Shenandoah Valley Airport (SHD).
Additional Information
After your application has been received and accepted, we will forward additional material, including
when and where to come, a map, schedule, and all other information needed to plan your trip.
Levels
Intermediate (minimum of 2 years of continuous dance instruction in either jazz, modern and/or ballet).
Intermediate/Advanced (minimum of 4 years of continuous dance instruction in jazz,
modern and/or ballet).
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CAMP FEES
Registration Form and Deposit of $500.00 are Due by April 1st for the Special Early Registration Price
Early Registration Price $1775.00
Registrater after April 2nd - $1950.00
Non-Residential Campers: $ 985.00
Registration Form and Balance of Tuition due June 1st
Late registration after June 2nd is $2050.00
Questions: 301-515-8908 commotion.me@gmail.com
Please keep this sheet for your records.
CoMMotion Dance Pilates Fitness 13097 Wisteria Drive, Lower Level, Germantown MD (301)-515-8908
Summer Sleep Away Camp Registration Form July 15th-July 28th, 2012 |
(Please mail to the above address, or email a scan to commotion.me@gmail.com)
APPLICATION FOR ADMISSION
Each camp applicant must complete every question on this form and attach their dance resume.
We cannot accept any applicant until this form is completed and returned to us.
APPLICANT INFORMATION
_______________________________________________________________________________ ________________
First Name Middle Last Date of this Application
_____________________________________________________________________________________________________
Home Street Address City Sate Zip
_____________________________________________________________________________________________________
Home Telephone: Area Code + Number Email Address
_____________________________________________________________________________________________________
Age Birthdate (month/day/year) Nickname Sex: M or F
_____________________________________________________________________________________________________
How did you hear about us?
PARENT OR GUARDIAN INFORMATION
____________________________________________________________________________________________________
Parent or Guardian (note relationship) Email Address
____________________________________________________________________________________________________
Home Street Address(if different from above) City Sate Zip
___________________________________________________________________________________
Home Telephone: Area Code + Number
____________________________________________ _________________________________________
Mother’s Daytime Telephone: Area Code + Number Father’s Daytime Telephone: Area Code + Number
___________________________________________________________________________________
Emergency Telephone if different from above: Area Code + Number
MEDICAL/ INSURANCE INFORMATION
Do you take any medication now? Yes No If yes, please list: ______________________________________
Are you allergic to any medications? Yes No If yes, please list:_______________________________________
Do you have any medical conditions that we should be aware of? Yes No
If yes, please describe:____________________________________________________________________________________
_____________________________________________________________________________
_______________________________________________________ ______________________________
Family Doctor (or doctor treating the above conditions) Telephone: Area Code + Number
Parents are responsible to provide health insurance for their children. Please give us a copy of your insurance card, and fill in the information below so that we may provide
this to the hospital in the event of accident or illness.
_____________________________________________ ______________________________________________________
Insured Name Policy Number Certificate or ID Number
________________________________________________________________________________________________________
Health Insurance Carrier Address
APPROVAL FOR TREATMENT
In the event a camper requires an emergency surgical or medical treatment, the Camp staff will make every attempt to reach the parent or guardian of minors for authorization for treatment. Please sign the statement
below
to authorize us to seek appropriate treatment in case we are unable to reach the parent or guardian. During the time my son, daughter, or ward, while enrolled as a camper at Mid-Atlantic Summer Dance Intensive,
is in need of surgical or medical treatment, I confer upon CoMMotion, or upon the designated representative, the authority, commensurate with the authority as a parent or guardian in like case, to give consent to
such surgical or medical treatment.
___________________________________________________________________________________
Name of Camper
___________________________________________________________________________________
Signature of parent or guardian of the camper listed above Date
MEDICAL/ INSURANCE INFORMATION
Do you take any medication now? Yes No If yes, please list: ______________________________________
Are you allergic to any medications? Yes No If yes, please list:_______________________________________
Do you have any medical conditions that we should be aware of? Yes No
If yes, please describe:____________________________________________________________________________________
_____________________________________________________________________________
_______________________________________________________ ______________________________
Family Doctor (or doctor treating the above conditions) Telephone: Area Code + Number
Parents are responsible to provide health insurance for their children. Please give us a copy of your insurance card, and fill in the information below so that we may provide this to the hospital in the event of
accident or illness.
_____________________________________________ ______________________________________________________
Insured Name Policy Number Certificate or ID Number
________________________________________________________________________________________________________
Health Insurance Carrier Address
APPROVAL FOR TREATMENT
In the event a camper requires an emergency surgical or medical treatment, the Camp staff will make every attempt to reach the parent or guardian of minors for authorization for treatment. Please sign
the statement below to authorize us to seek appropriate treatment in case we are unable to reach the parent or guardian. During the time my son, daughter, or ward, while enrolled as a camper at
Mid-Atlantic Summer Dance Intensive, is in need of surgical or medical treatment, I confer upon CoMMotion, or upon the designated representative, the authority, commensurate with the
authority as a parent or guardian in like case, to give consent to such surgical or medical treatment.
___________________________________________________________________________________
Name of Camper
___________________________________________________________________________________
Signature of parent or guardian of the camper listed above Date
TUITION
EARLY tuition $1785 _________________________
after April 1, $1950 __________________________________ after June 1st $2050 _________________________________
AMOUNT ENCLOSED ($500.00 minimum deposit) __________________________________
BALANCE DUE (to be paid in full by June 1, 2012) __________________________________
Please enclose the required $500.00 deposit or full amount with your application. Make checks payable to CoMMotion.
All deposits are applied to your camp fee and are non-refundable.
If you wish, you may charge the deposit fee and/or full amount due to VISA or MasterCard.
Full payment must be received by June 1, 2012.
CHECK# ________________ VISA or MASTERCARD _____________________________________________ _______________
Credit Card Number Expiration Date Security Code
_____________________________________________ ____________________________________________
Print Card Holder Name Card Holder Signature
APPROVAL & SIGNATURES
I have answered the questions on this application to the best of my ability and believe my answers are true and correct. I agree to support all camp rules and regulations.
I understand that the staff reserves the right of entry into a residence hall room by authorized personnel to protect the health and welfare of the student and the community when there is
probable cause to believe a violation of the College or civil regulations is being committed, or in any emergency situation. I assume financial responsibility for health care costs.
I understand and agree to the refund policy as stated in this brochure.
___________________________________ __________ ________________________________________ ________
Applicant Signature Date Parent/Guardian Signature Date
Don’t forget to attach your Dance Resume.