EFTA00090258

# Course Selection Form

## About This Form

This part of the application will be used for class registration. Your major will be determined through the Admissions process. You do not need to indicate your major on this page. Please complete the appropriate section to indicate classes that you would like in addition to your major.

## Applicant Name

| First Name | Middle | Last |
| :--- | :--- | :--- |

## Junior

Please list class names in order of preference. Do not list according to time. Remember to include all classes since there are no majors in this division.

Students in the Junior Division will be assigned three periods of arts activities, including private lessons. Students who complete grade 6 have the option of selecting an additional art class in place of land recreation. Please refer to the "Junior Division" section in the Camp Extra for a complete discussion of classes, scheduling, and prerequisites.

### Private Lessons

1. **Session A:** (first choice area of interest)
2. **Session A:** (second choice area of interest)
3. **Session A:** (third choice)
4. **Session A:** ( fourth choice )
5. **Session A:** (alternate choice)
   - □ 4-30 minute lessons (Instrument)
   - □ 4-60 minute lessons (Instrument)
   - Fortune Camps Only. Teacher preference for private lessons.

6. **Session B:** (first choice area of interest)
7. **Session B:** (second choice area of interest)
8. **Session B:** (third choice)
9. **Session B:** ( fourth choice )
10. **Session B:** (alternate choice)
   - □ 4-30 minute lessons (Instrument)
   - □ 4-60 minute lessons (Instrument)
    Fortune Camps Only. Teacher preference for private lessons.

## Intermediate

Please list only minor class names in order of preference. Do not list according to time. Please note that most majors will count as two periods of classes.

Students in the Intermediate Division will be assigned four periods of arts activities, including private lessons. Students who complete grade 9 have the option of selecting an additional class in place of recreation. Please refer to the "Intermediate Division" section in the Camp Extra for a complete discussion of classes, scheduling, prerequisites and audition requirements.

### Private Lessons

1. **Session A:** (first choice)
2. **Session A:** (second choice)
3. **Session A:** (third choice)
4. **Session A:** (alternate choice)
   - □ 4-30 minute lessons (Instrument)
   - □ 4-60 minute lessons (Instrument)
   - □ 4-60 minute lessons with 2 periods practice (Instrument)
    Fortune Camps Only. Teacher preference for private lessons.

5. **Session B:** (first choice)
6. **Session B:** (second choice)
7. **Session B:** (third choice)
8. **Session B:** (alternate choice)
   - □ 4-30 minute lessons (Instrument)
   - □ 4-60 minute lessons (Instrument)
   - □ 4-60 minute lessons with 2 periods practice (Instrument)
    Fortune Camps Only. Teacher preference for private lessons.

## High School

Please list only minor class names in order of preference. Do not list according to time. Please note that most majors will count as two periods of classes.

High School students will be assigned five periods of arts activities, including private lessons. Please refer to the "High School Division" section in the Camp Extra for a complete discussion of classes, scheduling, prerequisites and audition requirements.

1. **Life Classes**
2. **Second Choice**
3. **Third Choice**
4. **Fourth Choice**

**Operta - soprano**

8-30 minute lessons (Instrument)

8-30 minute lessons (If second instrument)

8-30 minute lessons (If third instrument)



EFTA00090259


Artistic Information

All students please answer:



VOCAL - SOPRANO

What is your primary instrument or interest?


Number of Years Studied

Music Students:

List the two most difficult solos you have mastered on your primary instrument or sung.

## Personal Information

Note any physical, psychological, medical or other condition requiring special attention or care (such as sleepwalking, fear of storms, bed wetting, etc.).

None

# How do you rate your child in terms of personal adjustment, such as his or her sense of self worth, ability, independence, etc.? See records and awards from last year

How do you rate your child in terms of social adjustment? Has many friends Has few friends Has one or two close friends Has had close association with older children Younger children Children his or her own age

## No

Is there any phase of personal or social adjustment which you hope Camp will aid?

Please give any information that might be helpful in guiding the educational and personal development of your child.

Send all materials and direct inquiries to:

When using U.S. Postal Service send to:

When using Federal Express, UPS and Airborne Express send to:

EFTA00090260