CCMI Teen Lodge Form Step 1 of 4 25% General InformationThis form contains all the information we need to enroll your child in the Teen Lodge. Before you begin please be sure to have the following documents scanned and ready to upload into this form. Make a separate scan for each page of the forms as they will be uploaded separately.1. Front and back copy of the student's insurance card2. Completed Health History Form3. Signed Student Liability Release Form4. A recent photo of the student clearly showing their face (such as a recent school photo)Student's name* First Last Student's instrument* Student's email* Student's mobile number while in the teen lodge*Parent 1: name* First Last Parent 1: email* Parent 1: phone*Parent 2: name (optional) First Last Parent 2: email (optional) Parent 2: phone (optional)Student's age as of June 1, 2019* Student's grade level in school* Student's gender* Female Male Upload a recent photo of the student staying in the Teen Lodge*Make sure this is a recent photo clearly showing the student's face, such as a recent school photo.Max. file size: 24 MB. Information for Meals, Health Insurance, and Health HistoryDietary restrictions* None Vegetarian Vegan Gluten free Kosher Food allergiesList any food allergies or sensitivities that we need to notify the restaurant and counselors about. Other non-food allergies should be address on the Health History form and can be written below.Upload a scan of the front of the student's insurance card*Max. file size: 24 MB.Upload a scan of the back of the student's insurance card*If the back and the front of the insurance card are in one scan, upload the same file for both requests.Max. file size: 24 MB.Completed Health History Form: Page 1Upload a scan of the 1st page hereMax. file size: 24 MB.Completed Health History Form: Page 2Upload a scan of the 2nd page hereMax. file size: 24 MB.Completed Health History Form: Page 3Upload a scan of the 3rd page hereMax. file size: 24 MB.Please let us know below if there is any additional health information we should know about the student Teen Lodge Important InformationThe information below is very important as you are making travel plans and preparing to stay in the Teen lodge. All of this information can also be found at the program websites on the Teen Lodge page.TravelIf the teen is traveling with his/her parents, please be sure to arrive in Copper Mountain by 2:45 pm on Sunday, June 23rd for the 3:00 welcome meeting. If you need to rent a car, we have made arrangements with Hertz Car Rental for guaranteed and discounted rental car rates during the duration of the Institute. Call 1-800-654-2240 or visit www.hertz.com and mention code “CIM2019” to receive our negotiated discount for Colorado Suzuki Institute families. If flying in and out of the Denver airport, be sure to allow 2 hours at the Denver airport for check in and security. Really!Travel Teen Only: If the teen is traveling alone into the Denver airport, we can arrange to meet the student at the airport and make sure they catch the correct Summit Express shuttle service. We will have someone waiting to meet them when they get off the shuttle in Copper Mountain. On their return home, we can arrange to have them catch the Summit Express shuttle service from Copper to the airport, meet them at the airport as they get off the shuttle, make sure they check into the proper airline and get into the security line at the airport. The family of the student is required to make all air travel and shuttle arrangements with Summit Express shuttle service. Call 970-668-6000 or visit www.summitexpress.com and mention code “CSI2019” to receive a 10% discount or book directly through the Summit Express CSI Portal. Colorado Suzuki Institute will not arrange or pay for any of the student’s air travel or Summit Express shuttle travel. In order to take advantage of this Teen Travel service, you must submit a Teen Travel Form and pay the $100 fee so we can arrange when and where to meet your teen and make sure they get to the right place!Check-InOne of the teen counselors will meet the students at the Teen Lodging Check in desk in Copper Mountain at 2:45 pm on Sunday, June 23rd. Be sure to arrange your travel so that you arrive at the check in desk between 2:45 and 3:00 for the Institute meeting at 3:00. If this is not possible due to airlines schedules, contact the institute office to arrange arrival on Saturday. Also remember that we are 2 hours away from the Denver airport as you make your travel arrangements. Students can keep their luggage with them for the 3:00 meeting. After the meeting they take a short walk to the teen lodge and check into their rooms. At check out, each student will inspect the condition of the room along with a Teen counselor and Copper Lodging staff. Any damages incurred during the student’s stay will be the responsibility of the students.Check-OutCheck out is after breakfast on Sunday, June 30th. Also remember that we are three hours away from the Denver airport as you make your travel arrangements. You can place your luggage in your counselors’ rooms until after the concerts are over if needed. At check out, each student will inspect the condition of the room along with a CSI Teen counselor and Copper Lodging staff. Any damages incurred during the student’s stay will be the responsibility of the students.What to bring?June weather in the mountains of Colorado can range from the 30’s to the 80’s. Packing layered clothing is the safest bet in order to keep warm in the evenings and mornings, and cool in the afternoon sunshine. There is also always a chance of a daily shower. Make sure to include concert clothes as well. See the Teen Lodge website for a complete list!IllnessIf you are too ill to attend class, notify a counselor. If you get ill during class, tell your teacher and then go to the music office. Singers who are ill enough to miss class or rehearsals are expected to remain in their room.Washer/DryerThe Teen Housing has a coin operated washer, dryer, and soap dispenser.MealsMeals will be provided to each student as part of the program. Meals for Colorado Vocal Institute begin with dinner on Sunday, June 23 and will continue through breakfast on Sunday, June 30. All meals will be provided at Jack’s at Copper Mountain: Breakfast: 7:00 – 7:45, Lunch: 11:30 AM – 1:00, Dinner: 5:30-6:30 PM.MoneyStudents should bring a small amount of spending money.PhonesStudents won’t be allowed access to their phones during class or after “lights out” each evening. Parents should be able to reach their children in the morning, between classes, and each evening before “lights out.” We will also provide contact information for our teen counselors so you can reach them at any time. Calls from room to room within lodging are free, just dial the room number. All other local calls are $.75 per call. Room occupants are responsible for all charges to the room.Evening ActivitiesAfter the nightly musical events are over, there are scheduled activities such as hikes, movies in the teen lounge, and more. Be sure to bring the appropriate clothing to enjoy these activities.FormsBoth parents and students participating in the Teen Lodge program are required to read and sign the Code of Conduct and complete the Health Form in order to attend.* I have read this important information and will refer to the website for details as needed The Teen Lodge Code of ConductTHE FOLLOWING WILL RESULT IN IMMEDIATE PARENTAL NOTIFICATION REGARDING DISCIPLINARY ACTION AND POSSIBLE DISMISSAL:1. Boys in girls’ sleeping rooms OR girls in boys’ sleeping rooms2. Smoking3. Use of illegal drugs or substances4. Illicit or wrongful use of legal drugs or substances5. Violation of curfew6. Leaving Copper Mountain Resort without a counselor7. Disruptive behavior8. Absences from class/truancyThe Director of Music of the Colorado Institute of Music shall have complete discretion as to any dismissal of a student from the Institute. In the event of any such dismissal, the student’s parent or legal guardian understands and agrees that they shall be responsible for any and all costs required to transport the student back to his or her legal address. They further understand and agree that a student’s dismissal from the Institute shall constitute a forfeiture of all tuition, costs, and registration fees paid.Student Signature*I have read the above Teen Lodge Code of Conduct and agree to it. First Last Parent Signature*I have read the above Teen Lodge Code of Conduct and agree to it. First Last Date of conduct agreement* MM slash DD slash YYYY Liability Release FormUpload a scan of the signed Liability Release FormMax. file size: 24 MB.