Call Us At: 340-344-6449
Gee, it's fun learning to play!

The U.S. Virgin Islands' Premier Music School!
*Student's Name:                                                                                                                                                               

*Age:                                             *Gender                                                    *Date of Birth                                                          Ethnicity (optional)   


*Parent's Name:                                                                                                                                                             *Does Student Reside in the U.S. Virgin Islands? 


*Mailing Address:                                                                                                                                                           If NO, please state where student resides.

*City:  

*State:                                                         *Zip Code:


Work Phone (Area Code and Phone):

Home Phone (Area Code and Phone):

*Cell Phone (Area Code and Phone):


*Email Address:

*Confirm Email Address: 


*How did you hear about us?:



*EMERGENCY CONTACT

*Emergency Contact Person(s):                            

*Relationship to Student:

Emergency Contact's Work Phone:

Emergency Contact's Home Phone:

Emergency Contact's Cell Phone:


*DESIGNATED PICKUP PERSON(S)

Name of Pickup Person(s):

(Each pickup person MUST supply an ID for G-Clef files)


*SUMMER MUSIC CAMP 
T-SHIRT SIZE SELECTION
You can purchase a
Summer Music Camp T-shirt
for $17.00/shirt

Available Sizes 
​(please select one size for the student)



​INSURANCE
Proof of Insurance Required
Must Provide Insurance Card at Registration

Insurance Provider:

Policy Number:


Insurance can be provided through G-Clef
G-Clef Campers Insurance:  PGU Insurance ($20/per child)
If you are purchasing camp insurance for your child, please add $20.00


*ALLERGIES/SPECIAL NEEDS

Does your child have any allergies? (please select)

If yes, please explain:


Does your child have any special needs?  (please select)

If yes, please explain:  


In accordance with Federal Law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write USDA Director, Office of Civil Rights, 1400 through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice users). USDA is an equal opportunity provider and employer.


*BUILD YOUR CHILD'S SUMMER MUSIC CAMP BY CHOOSING:
Camp Days, TWO-HOUR Group Time Blocks, Instrument(s), and Camp Weeks (Check ALL that Apply)
Students, ages 4 to 6, learn through Music Exploration, which includes all instruments (instruments vary per location).

​                        SELECT Music Class Block Time(s)      SELECT Instrument(s) to learn during Block 1 and/or 2       SELECT Weeks to Attend
                                                                                                                                                                                               06/21-06/25     06/28-07/02     07/05-07/09     07/12-07/16     07/19-07/23
MONDAY



TUESDAY



WEDNESDAY



THURSDAY



FRIDAY 




*CAMP ENROLLMENT DATES
June 21, 2021 to July 23, 2021 (5 Weeks)
Please enter your child's STARTING and ENDING DATES AND the TOTAL NUMBER OF WEEKS to be enrolled in camp. 

*Camp Start Date:                                   Camp End Date:


*Total Number of Weeks of Enrollment:     


*I, Parent/Individual Over 18, have read, understand and ACCEPT the IMPORTANT NOTES, TUITION PAYMENT REQUIREMENTS, AND POLICIES listed below. I ACCEPT responsibility for all charges that may be incurred.  I AGREE to all policies, terms, statements and payment terms of G-Clef Music Academy's 2021 Summer Music Camp agreement.  I ALLOW G-Clef Music Academy full promotional use of photographs and videos taken of the above registered student at G-Clef Music Academy’s summer camp and events.

Camp Dates:  June 21, 2021 - July 23, 2021 (FIVE Weeks)
   Monday through Friday
​Age Range:  4 to 14 years old
TWO Summer Camp CLASS BLOCK Times each Weekday:  
                        BLOCK 1:   8:30am - 10:30am
                        BLOCK 2:  10:30am - 12:30pm

Camp Locations:
St. Thomas, U.S. Virgin Islands
Mandela Circle
Upstairs of Cravin' Crabs. Across from Wendy's/Yacht Haven Grande, Next Door to Natural Food & Deli Building.
Enter in Rear (Near Havensight Shopping Mall, Yacht Haven Grande, Paradise Point, Port of Sale Mall, and Pueblo Supermarket-Long Bay)
St. Croix, U.S. Virgin Islands
Sunny Isle Shopping Center, #13
(Near Special Occasions, Rainbow, Amphitheater, Directly across from the Mall's Public Restrooms)


How Summer Music Camp Block WORKS:
Parents, build your child’s summer experience with the choice of FIVE MUSIC INSTRUMENTS to learn during TWO-HOUR music class blocks!  Students choose to learn piano, guitar/bass, drums, steel pan, and/or voice* in TWO-HOUR small group music class blocks. There are two music blocks, each weekday, MONDAY through FRIDAY. Select the number of block times you desire each day and each week! ONE instrument per block.

COVID-19 COMPLIANT CAMP: Spacious rooms hold up to 4 students per class. Students wear masks and can practice social distancing.

Each music lesson block is packed with students learning how to play their selected instrument, music theory (which teaches students how to read music), styles of music, performance on their instrument, and more!

Music theory is incorporated into class instruction, either on computer, through class instruction, or games.  Each group music class is conducted in separate spacious air-conditioned classrooms.  Each instructor is qualified and patient.  He/she will help your child reach his or her music goals at his/her own pace.  G-Clef supplies several instruments for each class.  There is a morning and afternoon break.

Regular Registration Fee: $50.00
Registration Fee Includes
   Use of Books
   Use of Music Materials
    Music Theory on Computer
       Music Theory Online Portal Fee
         Instrument User Fees
                 Insurance:  Proof of insurance is required.
G-Clef Summer Music Camp BLOCKS Application 2021
ENROLL your child in an ALL MUSIC CAMP this summer!  A FIVE-week music adventure awaits!
IMPORTANT NOTES, TUITION PAYMENT REQUIREMENTS, AND POLICIES**

1.​ One Student per application.  Parents must agree to the following IMPORTANT NOTES, TUITION PAYMENT REQUIREMENTS, and POLICIES.
2. Parent MUST complete application and payment to be fully enrolled.  The one-time REGISTRATION FEE is $50.00  Please contact our office at (340) 344-6449, if you have any questions.
3.  We accept valid credit/debit cards. Any balance owed to G-Clef Music Academy MUST be paid prior to enrollment to 2021 Summer Music Camp Blocks or any class to be scheduled. All scheduled music classes with G-Clef Music Academy are pre-paid. 
4. MULTIPLE NEW STUDENTS who are enrolled from ONE FAMILY will receive a reduction in their registration fee. The registration fee will be $25.00 per student (Minimum 2 students in family). IT IS BEST TO TAKE ADVANTAGE OF REGISTRATION SAVINGS OPPORTUNITIES!!
5. COVID-19 COMPLIANT CAMP: Spacious rooms hold up to 4 students per class. Students are required to wear masks and can practice social distancing (where possible). Bathroom breaks will also be given in consideration of COVID-19 Guidelines. For a complete list of COVID-19 compliance guidelines, visit stthomasmusicacademy.com or stcroixmusicacademy.com
6.  All students are required to have a copy of their present immunization card on file at G-Clef Music Academy.  
7.  ONE instrument per class block. Group music class blocks are based on availability. Instruments vary per location. Certain instruments may be offered on certain days. Some instruments not recommended for certain ages. If one class block is booked daily, then only ONE instrument is allowed to be selected for each weekday (i.e., Monday through Friday or less).
8.  IMPORTANT: If there are fewer than THREE students for any TWO-HOUR instrument group class, we will ask that you choose another TWO-HOUR group music class time block that has a minimum of 3 students. This may require a change of day and/or time of student’s music class block, based on availability.
9.  Each TWO-HOUR group music class time block has a maximum number of students allowed to be in the classroom at one time. Once that maximum number is achieved; then that class time block will be closed and no additional students will be allowed. Students will be placed in another time block, based on availability.  
10.  Changes in an instrument, may lead to changes in the day and/or time of class time block. Acceptance of any instrument changes is based on availability.
11.  Break Times: Morning break at 10:00am and afternoon break at 12:00pm. Break gives students a chance to get water and/or use the restroom. IF A STUDENT DECIDES TO BRING HIS/HER OWN SNACK FOR A BREAK, HE/SHE WILL BE ASKED TO EAT THE SNACK OUTSIDE AT A TABLE: Please indicate any allergies on this form. STUDENTS WILL NOT BE ABLE TO USE THE REFRIGERATOR OR THE MICROWAVE!
12.  Students are expected to follow the Summer Music Camp Rules. A Rules/Rewards Sheet will be supplied on the first day of camp.
13.  Drop off and Pickup Requirements: Drop off time and Pickup time is no more than a half hour before or after each student’s first or last music class time block. G-Clef Music Academy is dedicated to regulations that will ensure the safety of your child; hence camp students can only be released to adults whose ID’s are on file as designated pickup parents/guardiansG-Clef requires maintaining on file a photo ID of all of the adults/recipients who are authorized to pick-up your child. Children cannot leave the premises on their own, unless it has been approved by their parent/guardian. There will be a daily sign in/out sheet for parents/guardians at campsite. Camp class block students MUST be signed in on Sign-in Sheet prior to proceeding to class(es). Each child must be met at the facility by the designated responsible adult/recipient, who is 18 years of age or older and SIGNED OUT. G-Clef keeps role/missed group classes are recorded.  
14.  If a student arrives late for a group music class block, their time will not be extended beyond the agreed scheduled time. The instructor will not make up lost time due to a student’s late arrival.
15.  Parents are required to give as much notice as possible if any group music classes will be missed. We cannot guarantee a make-up class time block. If there is availability (at another time and/or day) for the same instrument, a make-up group music class block may be offered. Should an instructor need to be absent, a substitute instructor might be provided for the student(s). If a substitute cannot be provided, then a make-up class will be scheduled (based on availability).
16.  DO NOT BRING TOYS/ELECTRONIC ITEMS: If you elect to send electronic items, toys and/or games with your child, G-Clef Music Academy is NOT RESPONSIBLE for those items! Please refer to RULES/REWARDS for policies. Parents sign CHECKLIST that Rules/Rewards sheet was received.
17.  REFUND/DISCONTINUATION OF CLASSES POLICY (MUST COMPLETE A WITHDRAWAL FORM). There will be NO reimbursement for any funds, including the registration fee that has already been paid to G-Clef. Applicable credit will be considered in future enrollment/placements.


The U.S Department of Agriculture prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities). If you wish be to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.go/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected] Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish).


Summer Camp Music Camp Blocks dates and rates subject to change without notice.

03/01/21

Summer Music Camp 
Registration Application 2021
(one student per application)
IMPORTANT
After you submit, you will be taken to a payment portal.  You MUST complete the secure payment page in order to register for the 2021 Summer Music Camp. 
THE POWER 
TO SELECT
Select the number of blocks you want your child to experience each week and how many weeks your child will attend: 
 1, 2, 3, 4, or 5 Weeks
*REQUIRED FIELD
SPACE IS LIMITED!
Don't lose your 
child's space,
at the place 
where music and 
learning are fun!
Website designed by G-Clef Music Academy © 2021
YOUR CHILD CAN LEARN HOW TO PLAY THESE MUSIC INSTRUMENTS.  
CHOOSE Piano, Guitar, Drums, Steel Pan and/or Voice
Build Your Child's Camp Experience ONE or TWO BLOCKS at a Time!
It's a music adventure no music lover should miss!
BLOCK 1:  8:30am - 10:30am
BLOCK 2:  10:30am - 12:30pm
(8:30am - 10:30am)
(10:30am - 12:30pm)
(8:30am - 10:30am)
(10:30am - 12:30pm)
(8:30am - 10:30am)
(10:30am - 12:30pm)
(8:30am - 10:30am)
(10:30am - 12:30pm)
(8:30am - 10:30am)
(10:30am - 12:30pm)
MaleFemale
Super Small (4-6)
Child-Small (6-8)
Child-Medium (8-10)
Child-Large (12-14)
Adult-Small (34-36)
Adult-Medium (36-38)
Adult-Large (38-40)
Adult-XL
Adult-2X
YesNo
YesNo
PianoGuitarDrumsSteel PanVoice (Singing)
One WeekTwo WeeksThree WeeksFour WeekFive Weeks
AgreeDisagree
YesNo
Block 1
Block 2
PianoGuitarDrumsSteel PanVoice (Singing)
Week 2
Week 1
Week 4
Week 3
Week 5
PianoGuitarDrumsSteel PanVoice (Singing)
Block 1
Block 2
PianoGuitarDrumsSteel PanVoice (Singing)
Week 2
Week 1
Week 4
Week 3
Week 5
PianoGuitarDrumsSteel PanVoice (Singing)
Block 1
Block 2
PianoGuitarDrumsSteel PanVoice (Singing)
Week 2
Week 1
Week 4
Week 3
Week 5
PianoGuitarDrumsSteel PanVoice (Singing)
Block 1
Block 2
PianoGuitarDrumsSteel PanVoice (Singing)
Week 2
Week 1
Week 4
Week 3
Week 5
PianoGuitarDrumsSteel PanVoice (Singing)
Block 1
Block 2
PianoGuitarDrumsSteel PanVoice (Singing)
Week 2
Week 1
Week 4
Week 3
Week 5