Application2016

Please review bluelake.org/registration for complete instructions on how to apply to camp. Complete
both sides of application all information is required. Enrollment is accepted on a first-come, first-served
basis; prospective cabin mates must submit materials together. Retain a photocopy of this application for
your records. Please do not fax applications; please do not email credit card information.
Check One:

Central Camp

(Blue Lake Fine Arts Camp)


Junior Camp

(Camp Bernstein)

Mail to:

Admissions
Blue Lake
Lake Fine
Fine Arts
Blue
Arts Camp
Camp
300 East Crystal Lake Rd.
300 East Crystal Lake Rd.
Twin Lake, MI 49457
Twin Lake, MI 49457

Telephone:
231 894-1966
800 221-3796
Email a PDF to:
admissions@bluelake.org
(only for app submission -
not for correspondence)

Student Name
Last name
First name

Address
Number
Street

Middle initial

Home Telephone

City
State and Zip
County (Not Country)
Birth date
Age
Gender
Grade next school year
mo/day/yr
m/f

Number of years performed/studied
Have you ever attended Blue Lake?
Yes
Years or Months
If Yes, list year(s):

No

Custodial parent/guardian name(s) 1.

This Box For Office Use Only

Tuition

Minor Fee

Scholarship

Balance

Choose your Major (Check only one major activity for the session(s) you plan to attend)

Central Camp

Session I


High School


June 29 - July 10


Art

Dance**

Band

Choir

Jazz

Orchestra*

Piano

Theater: Contemp Acting

Theater: Shakespeare

Theater: Musical Theater

Harp

Date Received
Payment

Date

Session II

High School

July 13 - July 24
Art
Dance
Band
Choir
Jazz
Orchestra*
Piano
Theater: Contemp Acting
Theater: Shakespeare
Theater: Musical Theater
Harp

Deposit#

Session III
Intermediate
July 27 - August 7
Art
Dance
Band
Choir
Jazz
Orchestra*
Piano
Theater: Contemp Acting
Theater: Shakespeare
Theater: Musical Theater
Harp

Balance

Session IV
Intermediate
August 10 - August 21
Art
Dance
Band
Choir
Orchestra*
Piano
Theater: Contemp Acting
Theater: Shakespeare
Theater: Musical Theater
Harp

Junior Camp (Camp Bernstein): For recommended age and experience levels, see bluelake.org/bernstein

Session I

Session II

Session III
Session IV

Jr. Band
Jr. Band
Jr. Band
Jr. Band

Jr. Orchestra
Jr. Orchestra
Jr. Orchestra
Jr. Orchestra

2.
Occupation(s) 1.

*Wind and percussion students desiring Orchestra must initially enroll in Band and are selected by audition on opening
day. Advanced wind and percussion students who seek a position in Session 1 or 2 Masterworks Orchestra must submit
an audition prior to March 1. Advanced strings seeking membership in the Advanced Chamber Orchestra Session 1 or 2
must submit an audition prior to March 1. Visit bluelake.org/scholarships for audition requirements.
** Dancers seeking membership in the Dance Ensemble program should enroll in Dance Session I and attend an auditionmasterclass for specific placement. DVD auditions also accepted. See bluelake.org/dance for more information.

2.
Work phone(s) 1.

2.

Cell phone(s)

2.

1.

Choose your Minor See bluelake.org/minors for full course descriptions

Blue Lake sends important camp information via email! Please provide parent/guardian email addresses for your student.
Do not provide student email address.
Email address 1:
Email address 2:
Please select area of concentration (select only one)

Music

Art

Theater

Dance

If you selected Music above, please list your instrument or voice:

Be specific: Saxophonelist alto, tenor, or bari. Voicelist soprano, alto, tenor, or bass.
Teacher:

Arts Activity
School:

teacher at school

private teacher

Central Camp Minors are optional and selected in advance. Indicate 1st and 2nd choice:
History of Music
Intro to Opera
Piano (beginner)
Acting
Jazz Band
Piano (intermediate advanced)
Shakespeare
All That Jazz
Choir
Musical Theater
Conducting
Vocal Jazz
Harp
World Music
Radio Broadcasting
Art
Try a New Instrument
Contemporary Dance
Circle one: Fiber Arts,
Circle one: Brass,
Circle one: I or I I
Drawing & Painting,
Woodwind, or String
Music Theory
Ceramics, Sculpture,
Printmaking
Junior Camp (Camp Bernstein) Minors are required. Indicate 1st and 2nd choice.

Teacher Email Address

Fiddling
Creative Writing
Yoga
Camp Crafts
Campfire Guitar
Take a Hike
Health & Fitness
Team Sports

Teacher Telephone (

Art

Theater

Choir

Jazz Studies

History of Music

Nature Studies

)
Please send information about opportunities for students in the Blue Lake International Exchange Program.

(Complete both sides of application)

(Complete both sides of application)

Application2016

Tuition and Fee Calculation

Please review Blue Lakes refund policy HERE
2016 Tuition per two-week session:
Dance
$1,348
Band, Orchestra, Jazz $1,268
Art, Theater, Harp, Piano $1,348
Camp Bernstein
$1,298
Choir
$1,298

Add Minor fee: (Central Camp only)

All Central Camp Minor Courses $85, with the following exceptions:

Campfire Guitar $65, Camp Crafts $65, Health & Fitness $50,

Take a Hike $50, Team Sports $25

Subtotal (Tuition and Minor fee)

Less $200 non-refundable deposit (required with this application)

Balance Due: 30 Days before opening day of session attending

Failure to provide final tuition payment in a timely manner may result in forfeiture
of your camp reservation.

Less any Blue Lake scholarship already received

Blue Lake scholarships may not be applied to deposit.

Include voucher, if applicable. Any scholarship earned after enrolling

can be credited to your account.

All signatures are required for enrollment. Please do not submit an incomplete application.
Parent/Guardian Authorization:
Parents and/or Guardians are requested to read
and sign the following authorization statement.
Yes
No Blue Lake may share my contact
info with other Blue Lake families from my area for the
purposes of carpooling to/from camp. (Blue Lake does
not share info with other organizations).
Yes
No Does your child have any significant
health concerns or limitations of which we should be
aware, such as those listed on page 20 of the printed
catalog, or at bluelake.org/medical? (Attach any
relevant information).
Please be aware that Blue Lake uses professional
photographers during the summer season for
promotional purposes. Campers may be photographed
in the camp setting during classes and/or recreational
activities. Names are never published with images.

Remember: Campers opting to use Blue Lakes services of transportation, early arrival, or staying on camp between
sessions, are subject to additional fees associated with these services. To register for any of these services, forms must
be on file with the Admissions Office no later than 30 days prior to your camp session. For more information, contact
Admissions at 800-221-3796 or 231-894-1966 or visit bluelake.org/registration.

Please be aware that Blue Lake Fine Arts Camp does

not permit campers to use cell phones while on camp.
Your signature below indicates that you are able to
fully support this camp policy.

A $30 service charge will be added if students change sessions after enrollment.
The Blue Lake Registration Office is not responsible for collecting scholarship payments awarded by other organizations.
Housing - Cabin Mate (See HERE)
Campers who wish to be housed together must select each other as cabin mates and return the two applications in the
same envelope. No exceptions! An attempt will be made to house students together on a first-come, first-served basis
if applications are received together. Cabin mate requests are not guarenteed.

u
Parent/Guardian Signature

I, the undersigned, have read the above

and authorize my child to participate in all
activities and performances sponsored by
BLFAC. Further, in an emergency regarding
my child, I authorize the camp (in accordance
with state requirements) to take such temporary measures as the camp authorities, and
licensed physician selected by the camp,
deem appropriate.
Further, I understand that BLFAC is a
uniformed camp, and that my child will be
expected to wear the official camp uniform
items that may be purchased only at the
Camp Store.
Finally, I realize that part of the maturation
process for young performing artists is
learning to fulfill their responsibility to any
performing group of which they may be a
member. I also realize that BLFAC needs
my support in helping my child understand
that he/she must honor his/her obligation
to his/her performing group by attending
all camp performances and participating in
final presentations.

Date

Cabin Mate (list only one name)

Payment Information

Check or money order enclosed. Make checks payable to Blue Lake Fine Arts Camp.
Visa, MasterCard, American Express or Discover:

Credit card number

Name on card

Signature

Charge this amount: $

Camper Pledge:
Campers are expected to accept and conform to all
regulations of Blue Lake Fine Arts Camp and must
sign the following Camper Pledge.

CVN#

Expiration Date

A non-refundable deposit of $200 is required with this application. Applications may be scanned and emailed
as a PDF to admissions@bluelake.org, but will not be considered until a credit card deposit of $200 has been received by
phone. Do not email your credit card information. Instead, contact 800-221-3796. Do not fax your application.

Camper Signature

Date

Parent/Guardian Witness Signature

Date

As a camper of Blue Lake Fine Arts Camp,

I agree to abide by Camp regulations and to
cooperate with Camp authorities in furthering
its ideals. I agree not to use or possess tobacco,
alcoholic beverages or unauthorized drugs, not
to deface camp property, not to participate in
hazing, threats, or violence, not to endanger
the safety of myself or others, nor to go out of
bounds without permission. I understand that
if I violate any camp regulations, I jeopardize
my good standing with Blue Lake, my parents
will be notified, and I may be expelled
immediately from camp.