Songs for Justice Camp 2025

Student Information

Name (as student wants to be called)

Pronouns

Birthdate

Address (include zipcode)

Allergies

Allergy Severity N/A Mild Significant Life Threatening/Anaphylactic

What instrument does your child play or is interested in playing?

Do you plan on bringing an instrument-- if yes, which one?

How many years experience does your child have playing their chosen instrument?

Please check to give your consent for photo and media permissions of your child's image in promotional material.

I consent I do not consent

We are gender affirming and our program is structured to be inclusive and accomodating to neurodiverse and physically diverse needs. We do not have specialist support, but with advance notice we can provide individualized support for students.

Is there anything else you would like to tell us about this student to help us make camp the best possible experience for them?

How did you hear about Songs for Justice? (check all that apply)

Word of mouth Facebook Instagram FUS Website MN Women's Press Other

Will you be registering more than one child the summer?

Yes No

Name of Sibling(s) Registered

Parent/Guardian Information

Name of Primary Contact Parent/Legal Guardian

Relationship to student

Primary Phone

Primary Email

This address will receive a confirmation email

Address if different than student

Additional Parent/Legal Guardian

Relationship to student

Phone

This address will receive a confirmation email

Address if different than student

Other Parent/Guardian/Responsible Adults with permission to pick-up

Relationship to student

Phone

Payment

Paying By Check: If you prefer to pay by check, please select the "Pay by Check" option in the drop-down Camp Tuition selection below to bypass electronic payment. Checks should be made out to First Unitarian Society of Minneapolis with "Songs for Justice Camp" in the memo line and mailed to:

First Unitarian Society of Minneapolis
900 Mount Curve Ave
Minneapolis, MN 55403

Registration is not complete until payment is received.

Camp Tuition: 9pm to 3pm

Camp Aftercare: 3pm to 5pm

If your family faces financial barriers to participating and would like to request scholarship assistance or discuss a payment plan, please check the box below for a member of the FUS team to contact you.

Yes, contact me about financial assistance and/or a payment plan..

All requests for refunds must be submitted to Education Director, Zola Rosenfeld (e2@firstunitarian.org). If less than one week’s notice is given, 50% of the fee will be refunded. If notice is given on or after the start date of the program, no refund will be given.

Cancellations due to a COVID-19 diagnosis or medical advice to self-isolate before camp starts will be refunded in full. If the First Unitarian Society need to cancel the camp due to Public Health order or new restriction guidelines we cannot meet, then all campers will receive a full refund of fees paid.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Songs for Justice Camp 2025

Description

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