EIU Department of Music

EMC Required Forms

Campers and Parents: Please print, complete, SIGN, and mail copies of all four forms below.  **PLEASE NOTE that forms mailed after Wednesday 7/13/16 may not arrive in time to be processed and will need to be turned in during check-in.

1. Audio/Visual Consent Form

This form requires three separate SIGNATURES: the releasor, and two witnesses.  Please complete all three SIGNATURES prior to mailing.

2. Medical Treatment Authorization

Please complete and SIGN all fields prior to mailing.  You do not need to return the 2nd page, that is for your information only.

3. Over-the-Counter (OTC) & Emergency Treatment Authorization

Please complete and SIGN all fields prior to mailing.

4. Waiver of Liability

Please complete and SIGN all fields prior to mailing.

Mail or Return all four original forms - NO COPIES PLEASE - to:

Eastern Music Camp
c/o Andrew Cheetham, Director
Department of Music
Eastern Illinois University
Charleston, IL 61920