2023 Residential Summer String Camp Sunday 8th January to Saturday 14th January Deposit to secure you place: Fee for part-time attendance will be individually calculated and reflected in the invoice Estimated total fee: One Application Form must be submitted for each person attending theResidential Summer String Camp,whether staying full time, part time or a day visitor,whether on-site or off-site,whether a musician, non-musician or musical staff.As you work your way down the form different sections will open up depending upon the answers you have given. Applicant Given Name: Preferred Name: Family Name: Have you been formally invited to the 2023 Camp as a Tutor or as a Conductor?YesNo All staff at the Residential Summer String Camp are required to have read the LYCO Child Safe PolicyI have read and understood the LYCO Child Safe Policy All staff at the Residential Summer String Camp are required to have read the LYCO Code of ConductI have read and agree to the LYCO Code of Conduct All staff at the Residential Summer String Camp are required to have a valid Tasmanian Working with Vulnerable People card for the duration of the CampDo you hold a Tasmanian Working with Vulnerable People card that will be valid at the time of camp?YesNo Please send a scanned copy of your card to apply@lyco.org.au with this application Please contact apply@lyco.org.au as soon as possible Will you/the Applicant be 18 or more years old on the 9th of January 2022?YesNo Please give an indication of your age range: (this helps with the allocation of accommodation, meal rosters etc)18-25 years25-40 years40-65 years65+ years Unaccompanied children must be over the age of 9yrs at the start of Camp.The child's Parent or Legal Guardian must complete the rest of this form. The child's Date of birth:Day12345678910111213141516171819202122232425262728293031MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear20032004200520062007200820092010201120122013201420152016201720182019202020212022 Please give your First Name: Please give your Family Name: What is your relationship to the child?MotherFatherLegal Guardian Will you be attending the Camp?YesNo Will another of the child's Parents/Legal Guardians be attending the Camp?YesNo Please give their name: Please give the name of the person who will be picking your child up at the concert at the end of Camp: Note that the person picking up your child may be asked to show photo i.d. (for example, a Driver's Licence)Please inform the Camp Administrator (apply@lyco.org.au) if any changes to who is picking your child are to be made, or if you will be running late Contact Details Applicant's E-mail Address for all Correspondence: Applicant's Phone Number: Applicant's Postal Address Number and Street: Suburb: Postcode: Parent/Legal Guardian's E-mail Address for all Correspondence: Parent/Legal Guardian's Phone Number: Parent/Legal Guardian's Postal Address Number and Street: Suburb: Postcode: Medical Details Covid-19: Tasmanian Government and Camp Clayton Covid-19 regulations and guidelines current the time of Camp will be upheld.Please do not attend Camp if you are unwell or have any infectious conditions that may affect others at the Camp.Do you have any medical conditions, disabilities or allergies (non-dietary) that might affect your stay at Camp?YesNo Please give details (if appropriate): Covid-19: Tasmanian Government and Camp Clayton Covid-19 regulations and guidelines current at the time of Camp will be upheld.Please do not send your child to Camp if they are unwell or have any infectious conditions that may affect others at the Camp.If your child develops a fever or nausea and/or vomitting at Camp you many be asked to take them homeWill you be attending Camp with your child (including sharing accommodation with them)?YesNo, they will be unaccompanied Does your child have any medical or behavioural conditions, or allergies (non-dietary) that might affect their stay at Camp?YesNo Please give details: Do you consent for your child to receive sunscreen from one of our Camp Parents/Activity Supervisors should you not be available to ask?YesNo. I understand that this might create a delay for my child to take part in the activity Please note that unaccompanied children must be at least 9yrs of age before the start of CampWill your child be 9yrs or older at the start of Camp?Yes, my child will be more than 9yrs old at the start of Camp Primary Emergency Contact Number:Same as AboveDifferent to Above Name of Primary Contact Person: Number of Primary Contact Person: Relationship of Primary Contact Person to Applicant: Name of Secondary Emergency Contact Person: Phone Number of Secondary Contact Person: Relationship of Secondary Contact Person to Applicant: Does your child have other relatives at the Camp?YesNo Please give their name/s What is their relationship to the Applicant?Grand ParentSiblingOther Does your child have any of the following allergies?(please tick all that apply):Allergy to insects (bees, Jack Jumpers, etc)Allergy to medicationAllergy to plasters/wound dressingsHay FeverDietaryOtherMy child has no allergies Allergy to insects. Please give details: Allergy to medication. Please give details: Allergy to certain plasters/wound dressings. Please give details: Hay Fever. Please give details: Other allergy. Please give details: Please give details of dietary allergies in the section 'Food Allergies'section below Does your child have any of the following medical conditions?(please tick all that apply):AsthmaEczemaEpilepsy (seizures)DiabetesOtherMy child has no medical conditions Asthma. Please give details: Eczema. Please give details: Epilepsy. Please give details: Diabetes. Please give details: Other. Please give details: Will your child be bringing any medication to Camp?YesNo Please give details: Do any of the following apply to your child?(please tick all that apply):Enuresis (bed-wetting/incontinence)ADHD (Attention-Deficit/Hyperactive Disorder)ASD (Autism Spectrum Disorder)My child has none of the above Enuresis. Given that this condition is beyond the scope of RSSC staff to deal with, please give details of how your child will be able to manage this condition themselves: ADHD. Please provide details, and be aware that any infomation given will only be used to better understand your child's needs and will not affect their orchestra placement, etc: ASD. Please provide details, and be aware that any infomation given will only be used to better understand your child's needs and will not affect their orchestra placement, etc: Other. Please give details: Does your child have any other medical or social conditions that might affect their stay at Camp?YesNo Please give details: Do you consent for your child to receive sunscreen from one of our RSSC Staff should they have forgotten to supply their own?YesNo. I understand that this will mean my child will not be permitted to take part in any out-door activities Do you consent to your child receiving Paracetamol if required?YesNo I understand that, if required, first aid treatment will be administered by one of our qualified First Aid OfficersYes Diet Options Camp Clayton is a Nut-Free environmentCamp Clayton staff advise that the standard menu does not include a vegetarian option.For more information about mealtimes go to the meals page of the website.I/my child will eat from the standard menu providedI/my child would like to order a specialised menu What is your/your child's dietary preference?vegetarianvegangluten-freedairy-freeseafood-freeegg-freenut-freeother please specify: As well as this form, you will need to complete the Camp Clayton Critical Diet Information FormWhen the form asks for Name of Group, enter LYCO Residential Summer String Camp(Note - you will receive confirmation when the form has been successfully lodged)I understand that I need to fill in the Camp Clayton Critical Diet Form (either for myself or for my child) Food Allergy Do you/does your child have a food related allergy/intolerance?NoYes What type of food-related allergy do you/does your child have?glutendairyseafoodeggnutother please specify: How would you rate the severity of your/your child's allergy or dietary intolerance?mildseverefatal If you have not done so already you must complete the Camp Clayton Critical Diet Information FormWhen the form asks for Name of Group, enter LYCO Residential Summer String Camp(Note - you will receive confirmation when the form has been successfully lodged)I understand that I need to fill in the Camp Clayton Critical Diet Form (either for myself or for my child) Billing Details Billing Details: This section is not applicable to music staff Name:Same as AboveDifferent to Above Given Name: Family Name: Address:Same as AboveDifferent to Above Billing E-mail Address: Billing Phone Number: Billing Postal Address Number and Street: Suburb: Postcode: Fee Structure This section is not applicable to music staff For booking purposes family members are: spouses, or parent/guardian(s) and dependant children under 18yrs at the start of Camp, or siblings under 18yrs at the start of Camp. Which best describes you (the applicant)?First (or only) family member attendingSecond family member attendingAdult concession holderAdult Non-Player Concession card holders must hold a current concession card at the time of bookingWhich concession card do you hold?Pensioner Concession CardHealth Care CardCommonwealth Seniors Health CardOther please specify: Concession Card number: Expiry Date: Which best describes you (the applicant)?First (or only) family member attendingSecond family member attendingThird or additional family member attendingChild concession holderNon-Player 12-17yrs of ageNon-Player 6-11yrs of ageNon-Player under 6yrs of ageInfant under 2yrs Concession card holders must hold a current concession card at the time of bookingWhich concession card do you hold?Health Care CardOther please specify: Concession Card number: Expiry Date: Bursary LYCO has set up a 'Residential Summer String Camp (RSSC) Bursary Fund' to assist those experiencing financial difficulties to attend. Would you be interested in donating to the RSSC bursary fund?YesNo THANK YOU.Please indicate the figure you are considering.Details of how to donate will be sent to you by email shortly LYCO has set up a 'Residential Summer String Camp (RSSC) Bursary Fund' to assist those experiencing financial difficulties to attend. Would you be interested in donating to the RSSC bursary fund?YesNo THANK YOU.Please indicate the figure you are considering.This will be added to your invoice. Would you like to apply for a bursary, should one be available?YesNo Do you (or does the parent/legal guardian) hold a current concession card?YesNo Which concession card do you (or does the parent/legal guardian) hold?Pensioner Concession CardHealth Care CardCommonwealth Seniors Health CardOther please specify: Concession Card number: Expiry Date: To apply for a bursary please give brief reasons why you feel that you are eligible.(Examples of eligibility may include, but are not limited to, low income, medical issues, extraordinary expenditure etc.)Applications for the Bursary will close on midnight of Sunday 25th September Attendance Will you be attending the whole Residential Summer String Camp, ie Sunday to Saturday?YesNo Will your child be attending the whole Residential Summer String Camp, ie Sunday to Saturday?YesNo What day will you/your child arrive?SelectSundayMondayTuesdayWednesdayThursdayFridaySaturday What time will you/your child arrive?SelectBefore lunchBefore dinnerBefore supper What day will you/your child leave?SelectSundayMondayTuesdayWednesdayThursdayFridaySaturday What time will you/your child be leaving?SelectBefore lunchBefore dinner Volunteer at Camp Would you be interested in helping to supervise one or two of the children's activities on a casual basis during the week?YesNo Thank you! Are there any specific activities that you would like to help with? Would you be interested in helping to supervise one or two of the children's activities on a casual basis during the week?YesNo Thank you! Are there any specific activities that you would like to help with? Will you be holding a current Tasmanian Working with Vulnerable People Card for the duration of the Camp?YesNo This section is not applicable to people under 18yrs Would your child be interested in being a Lodge Leader for this Camp?Details can be found at this link: Role of the Lodge LeaderYesNo Fantastic!If your child is over 16yrs will they be able to get a Working with Vulnerable People Card before the start of Camp?YesNo Great!Continue with your Application and you will be contacted before October 3rd 2022 should a vacancy arise.For further details please contact Admin apply@lyco.org.au Volunteers are always needed at Camp to fulfil specific Roles.Would you like to see how you can Volunteer?YesNo Brilliant!Please consider the following:Camp ParentOrchestra ParentActivity SupervisorFirst Aid OfficerPhotographer Camp ParentsThe invaluable role of Camp Parent involves the supervision of unaccompanied children throughout the duration of the campDetails can be found at this link: Role of the Camp Parent Would you like to be considered for this role for the coming Camp?Yes Orchestra ParentsThis new role of Orchestra Parent involves taking care of the welfare of all players throughout orchestra rehearsals.Details can be found at this link: Role of the Orchestra Parent Would you like to be considered for this role for the coming Camp?Yes Activity SupervisorThe Activity Supervisors will have the fun role of initiating and supervising evening and afternoon games and activities for the children and young adultsDetails can be found at this link: Role of the Activity SupervisorWould you like to be considered for this role for the coming Camp?Yes How many days would you like to volunteer?Select12345 First Aid OfficersRSSC would like two First Aid Officers so that you can work together and support each other, providing best practice to the CampRSSC will provide a First Aid KitYou will need to be suitably trained, and provide a Statement of Attainment issued by a Registered Training Organisation in first aid, basic emergency life support, and cardiopulmonary resuscitation (or equivalent)You will also need to hold a Tasmanian Working with Vulnerable People Card that will be current for the duration of the Camp.Would you like to be considered for this role for the coming Camp?Yes PhotographerThis exciting role is offered to a creative individual who will document all aspects of the life of the Camp.Full details can be found at this link: Role of the PhotographerWould you like to be considered for this role for the coming Camp?Yes Thank You!Please make sure you have read and understood the requirements for this Role.Continue with your Application and you will be contacted before October 3rd 2022 should a vacancy arise.For further details please contact Admin apply@lyco.org.au Bus A charter bus to Camp Clayton from Hobart via Launceston will be hired if there is sufficient demand by 3rd October.(Note that there will be no return bus, you will need to make your own way home) Do you require a place on the bus?No, I will make my own way to Camp ClaytonYes, I would like to book a seat on the bus from Hobartfrom Launcestonfrom Deloraine I understand there will be NO return bus, and that getting home is my own responsibility. Departure details will be sent to you in an email and will will be published on the LYCO website once the bus has been bookedBus fares are non-refundable after 30th November unless too few people have booked to warrant hiring a bus Accommodation Where do you want to stay?On-site in Camp Clayton accommodationOn-site in my tent, caravan or campervanOff-site In order to help with the allocation of accommodation please would you indicate whether you are:MaleFemalePrefer not to say Please contact Admin apply@lyco.org.au Will you be bringing your own bed-linen?I will bring my own/I will provide a set for my child (Don't forget to bring a sheet to cover the mattress and your own pillow!)I/my child will rent a set of bed-linen from Camp Clayton(couples please only order one set of bed linen between you!) Will you be bringing your own towels?I will bring my own/I will provide a set for my childI/my child will rent a set of towels from Camp Clayton Rented towels are not to be taken to the beachWould you like to borrow a beach towel?YesNo Please note: there are NO single rooms at Camp Clayton People you/your child would like to share accommodation withinclude any children under your supervision:Please put each person on a separate line First Choice: Second Choice: Third Choice: Fourth Choice: Camp Clayton Outdoor Activities Form The Camp provides some exciting, optional, non-musical outdoor activities(see www.lyco.org.au/rssc/activities)In order that your child/the Applicant can be allowed to take part in any of the Camp Clayton - run activities you must submit the Liability Waiver & Consent Form - Adults & MinorsA link to this form will be made available on the RSSC website.I understand that in order for my child to take part in Camp Clayton's supervised outdoor activities I need to fill in the Camp Clayton Liability Waiver & Consent Form and will do so as part of this booking The Camp provides some exciting, optional, non-musical outdoor activities, some of which (like the giant swing) are suitable for adults.(see www.lyco.org.au/rssc/activities)In order to be allowed to take part in any of the activities run by Camp Clayton you must submit the Liability Waiver & Consent Form - Adults & MinorsA link to this form will be made available on the RSSC website.I would like to take part in Camp Clayton's supervised outdoor activities.I undertand that I need to fill in the Camp Clayton Liability Waiver & Consent Form and will do so as part of this bookingI will not be taking part in Camp Clayton's supervised outdoor activities. Orchestras This section is not applicable to non-playing guests This section is not applicable to non-playing guests This section is not applicable to music staff Which instrument will you be playing in orchestra?ViolinViolaCelloDouble Bass Exciting opportunity from Jo St Leon:CALLING VIOLINISTS YOUNG AND OLD!Playing the violin is a wonderful thing to do, but imagine how awesome it would be to be able to also play its neglected but sonorous sister, the viola.I have given two violas to RSSC, and plan to run an elective each camp for violinists to experience the joy, learn the clef and explore the differences.Being able to play both instruments will ensure you are constantly in demand for orchestras and chamber groups. Your musical life will be enriched beyond belief by experiencing music from the middle of the sound and discovering the genius of composers who created magic with their writing for inner voices.Have I persuaded you?You can come along for the week to try it out for yourself as an elective, or if you really want to give it a red-hot go you can join one of the orchestras as a violist — I’ll make sure to start you off on the first day with enough knowledge to get you through your first rehearsal.Would you like to be considered for this great opportunity?YesNo Thank you. You will be informed in nearer the time if this option is still available Before indicating which orchestra is best suited to your current playing level please carefully read the standards required for each orchestra listed on the Orchestras page of the website.If you are unsure about which orchestra to join you can ask your teacher or send an email to the Musical Director at apply@lyco.org.auWhich orchestra are you applying to join?Preludio OrchestraMelaleuca OrchestraLemonthyme OrchestraFreycinet Orchestra I confirm that I have read and understood the requirements for playing in PRELUDIO ORCHESTRA and that my current abilities allow for me to play at that standard. I confirm that I have read and understood the requirements for playing in MELALEUCA ORCHESTRA and that my current abilities allow for me to play at that standard. I confirm that I have read and understood the requirements for playing in LEMONTHYME ORCHESTRA and that my current abilities allow for me to play at that standard. I confirm that I have read and understood the requirements for playing in FREYCINET ORCHESTRA and that my current abilities allow for me to play at that standard. If you play other string instruments please bring them along to play in chamber groups, ensembles, etc. Chamber Groups This section is not applicable to non-playing guests This section is not applicable to non-playing guests This section is not applicable to music staff One of the Electives at this Camp is playing in a Chamber GroupWould you like to be part of a Chamber Group?YesNo Which instrument will you be playing in your Chamber Group?ViolinViolaCelloDouble Bass Do you have a pre-formed group that you would like to play with?YesNo People in your pre-formed group: Please put each person on a separate line Will you be bringing your own sheet music to play from?YesNo, we will be happy to play from the music selected for us Saturday Concert At the end of camp there is a short concert showcasing the repertoire worked on during the week by each orchestra (see the Concert page of the website for start and finish times, etc).You are welcome to invite your family and friends to come along to the performance, however Camp Clayton needs to know how many people will be expected on-site Will you be inviting family and friends to the concert?YesNo Great! As they will not be allowed into any of Camp Clayton's buildings apart from the toilet it would be advisable to ask them to make their own arrangements for lunch How many guests are you expecting?(If more than one of your family members are attending Camp please fill in this section on one application form only)Select123456 Payment This section is not applicable to music staff Please be aware that changes have been made to the financial arrangements for the 2023 Camp.Check out the Financial Terms and Conditions and the Fees page of the LYCO website for more information.A deposit is no longer required, but all fees must by paid in full by midnight of 2nd October 2022.After this date no fees are refundable unless the Camp is closed.All fees include a $15 non-refundable Admin Fee.LYCO understands these changes are significant. If you have any queries please contact the Treasurer at apply@lyco.org.auPlease remember to pay nothing until you have received an invoice. Policies, Terms and Conditions Please familiarise yourself with the following policies, terms and conditionsThe following are applicable to everyone:2023 Finance Terms and ConditionsCamp Clayton RulesMobile Phones and Smart DevicesPhotography, Filming and RecordingPrivacy PolicyThe following are especially applicable to parents:Parents Accompanying their own Children to CampSupervision of Unaccompanied Children at CampThe following are applicable to all staff and volunteers:Code of ConductChild Safe PolicyThese terms, policies and procedures can also be found on the 'Policies, Terms and Conditions' page of the RSSC website.By submitting this application I agree to the policies, terms and conditions as listed above Queries Please address any queries to Admin apply@lyco.org.auYou should very shortly recieve a confirmation email that your form has been sent.If you don't receive an email please try submitting your form again.THANK YOU for applying.Looking forward to a Fantastic 2023 Camp! 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