WSAI Music/Activity Camp

6th to 12th August 2017

Application Form - International

Name of Camper with WS
Address
Date of Birth
Phone
Email
Camper must be accompanied by an over 18 helper who can speak English.
Helper must be Police Vetted
Helper’s Name
Helper’s Address
Helper’s Contact Phone No.
Please enclose booking deposit of €350. Balance of €530 must be paid by 1st July. This includes temporary membership of WSAI for the month of August.
The deposit is refundable is application is unsuccessful
All campers will have group classes in Musical Theatre, Chorus and Dance. In addition you can have individual music lessons in one or two areas. Please indicate your area of interest by numbering your choice from the options listed below. If there is an instrument that you wish to try out that is not listed below, please indicate this by putting the instrument name in the “Other” box:
Piano/Keyboard / Drums/Percussion
Voice / Other
Guitar
Can you bring a musical instrument to camp? / Yes / No
If yes, what instrument will you bring?
Can you read musical notes? / Yes / No
Can you read the words of songs? / Yes / No
Have you had any music or voice lessons before? / Yes / No
If so, in what area and when?
Have you ever taken part in a musical show? / Yes / No
If yes, where?
Do you swim? / Yes / No
State level of ability?
Are you interested in swimming sessions during the week at camp? / Yes / No
What is your T shirt size – small/medium/large/X large
Is there any other information that you feel we should know before you attend your week at camp?
Signature:
Date

Please sign and return application form, with deposit to Carmel Daly. Williams Syndrome Association of Ireland, 25 Lohunda Park, Clonsilla, Dublin 15.

If the application is successful the balance of payment will be due on 1st June.