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2026
Summer Academy Student
Information Forms

All ENCORE students must fill out the Student Information Forms by May 1st, 2025. In addition to filling out the information forms, students must also send a scan of their health insurance card to Head of Operations Junghwan Jung at operations@encorechambermusic.org. Note: It is vital that all students attending ENCORE Chamber Music have a health insurance policy. International students are recommended to get a travel insurance policy on top of their home health plan.

Forms Checklist:

  1. Student Contact Information

  2. Medical Information & Treatment Authorization

  3. Liability Release

  4. Media Release

  5. Transportation Form

  6. Repertoire & Faculty Preference (Young Artists Program Only)

1) STUDENT CONTACT FORM

If not currently attending a college/university, please list your hometown or high school as you would like it to appear in the program

Date of birth
Month
Day
Year

Mailing address

Mailing address

Parent or guardian 1

Parent or guardian 2

If you would like make a request for who your roommate will be, list that person's name here. Please make sure you communicate with this person before listing their name.

Race

Please select any that apply

Ethnicity
2) Medical Information & Treatment Authorization

In order to provide the best care to each student while at ENCORE, ENCORE asks that students fill out the following medical information form with accurate and relevant medical information.

Student name

Emergency contact #1

Please list any other information you wish ENCORE to know about this emergency contact.

Emergency contact #2

Please list any other information you wish ENCORE to know about this emergency contact.

Health Insurance Information

Please send a scanned copy of your health insurance card to operations@encorechambermusic.org

Policy holder (name on card)

Policy holder date of birth
Month
Day
Year
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By signing you are stating that the above insurance information is correct. Students who will be 18 or older as of June 1, 2026 may sign in lieu of a parent/legal guardian.

Today's date
Month
Day
Year

Medical Information

Name of medication, dosage & reason

If you have medications, please check one of the following:
I am over 18, and can self-administer medications
I am over 18, and would like ENCORE staff to hold and administer medications
My child is under 18 and needs an ENCORE staff member to hold and administer their medications
My child is under 18 and can self-administer their medications

Please list any disabilities for which you/your child may need accommodation while at ENCORE.

Medical devices:

Please indicate if you/your child will carry one of the following items while at ENCORE.

You may use this field to disclose any other relevant medical information you wish to share.

Medical Treatment Authorization PURPOSE: To authorize emergency and/or non-emergency medical evaluation and treatment of students in the ENCORE Chamber Music Program at Baldwin Wallace University. Every effort will be made to contact a parent/legal guardian regarding medical care. Students who will be 18 or older on the first day of their ENCORE program may sign in lieu of a parent/legal guardian.

Dietary Restrictions

Dietary restrictions will be accommodated to the best of our abilities but may need to be supplemented by the student. We will provide support as needed.

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Unless a Cleveland-based physician is specifically designated by the student or parent/legal guardian, all care will be provided by local primary care providers.

Today's date
Month
Day
Year
3) Liability Release

PURPOSE: This document is provided in place of and to accommodate me, the parent/legal guardian of my Child, and to replace individual authorization for each ENCORE-sponsored activity.  ENCORE-sponsored activities include but are not limited to all off-campus field trips and on-campus activities.  For off-campus field trips, transportation will be provided by third-party transportation providers arranged by ENCORE. I acknowledge that such transportation may involve inherent risks, and I agree to release and hold harmless ENCORE and Baldwin Wallace University from any liability arising from transportation services not directly operated by them. I understand that in certain limited situations, my Child may use independent transportation (such as rideshare services), and I assume the risks associated with such transportation. On-campus activities may include sports and recreational activities, such as swimming, basketball and softball.


Students who will be 18 or older on the first day of their ENCORE Summer Academy may sign for themselves in lieu of a parent/legal guardian.


I state that my child is a student in an ENCORE Chamber Music Institute summer program, housed at Baldwin Wallace University, an Ohio Not-for-Profit Corporation located at 49 Seminary St, Berea, OH 44017, and that in consideration of ENCORE’s agreement to permit my Child to participate in any and all ENCORE-sponsored activities, so state that:


1.   I am aware of the nature of ENCORE-sponsored activities and understand there are risks/dangers attendant to my Child’s participation;


2.  I hereby agree to permit my Child to participate in any and all such ENCORE-sponsored activities unless I advise ENCORE in writing beforehand that I revoke my permission for a particular activity or activities;


3.  I warrant that I maintain accident and health insurance coverage for my Child that will cover my Child while he or she is attending ENCORE and while he or she is participating in any such ENCORE-sponsored activities;


4. In the event of a medical emergency, and after reasonable attempts have been unsuccessful to reach me, I hereby give permission for the representative of ENCORE and/or Baldwin Wallace University to arrange for/and/or authorize emergency medical treatment for my Child. I understand that I am responsible for any and all costs associated with such medical treatment.


5.  I agree to release, indemnify, protect, defend and hold harmless ENCORE and Baldwin Wallace University, and their respective teachers, administrators, trustees, directors, supervisors, agents, employees, faculty members, and all private persons or organizations volunteering services without charge (each, a “Protected Party”) to supervise or chaperone my Child while participating in the ENCORE-sponsored activities, from any claim or liability of whatsoever kind or nature, including but not limited to personal injury, including dismemberment and/or loss of life, or loss of any kind and/or property damage, court costs, attorneys’ fees and interest, as a result of my Child’s participation in the ENCORE-sponsored activities. I do not agree, however, to such release in the case of willful or intentional inappropriate actions or inactions by employees of ENCORE or Baldwin Wallace University. Further, I hereby agree that no Protected Party shall be liable for any special, indirect or consequential damages to any party howsoever arising regardless of any negligence, including any damages that such Protected Party reasonably contemplated or should have anticipated;


6. I agree that ENCORE and Baldwin Wallace University, and their respective teachers, administrators, trustees, directors, supervisors, agents, employees, faculty members, and all private persons or organizations volunteering services without charge may terminate my Child’s participation in any ENCORE-sponsored activities if my Child fails to behave or act in accordance with ENCORE’s rules and/or regulations on conduct as set forth in the ENCORE Chamber Music Institute Student Handbook and any other policy of ENCORE or Baldwin Wallace University, fails to follow the instructions and/or directions of teachers, faculty, administrators, trustees, supervisors, agents, employees and all private persons or organizations volunteering services, or evidence conduct deemed to be detrimental to or incompatible with the interest, comfort or welfare of those participating in the ENCORE-sponsored activities including students, ENCORE representatives and supervisors as determined by the representative of ENCORE in charge of the ENCORE-sponsored activity.  Accordingly, I hereby authorize the Executive Director of ENCORE Chamber Music Institute and other respective administrators including the residential hall supervisors to administer and enforce disciplinary action, without a refund of any tuition or expenses paid by me or my Child, in the event of any violation of or noncompliance with such rules and/or regulations by my Child.


7. I acknowledge that my Child will be required to bring his or her own instrument to ENCORE.  I further acknowledge that either I or my Child is responsible for transporting his or her instrument to ENCORE's campus, at my own expense and risk of loss. I represent and warrant that I maintain an insurance policy that covers any damage to the instrument or theft of the instrument, and such insurance policy will remain in effect throughout the time my Child attends ENCORE.  Without limiting the foregoing, I acknowledge and agree that neither ENCORE nor Baldwin Wallace University, nor their respective directors, employees, faculty or supervisors shall be liable for any damage to or theft of my Child’s instrument.

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I acknowledge that I have read and agree to the terms set out in the Liability Release.

I am signing for:

If you are a parent or guardian signing for your child, please write your child's name below.

Today's date
Month
Day
Year
4) Media Release

Use of Student's Image and Likeness Agreement


While at ENCORE, students may be filmed, videotaped or photographed during performances, practices, classes, off-campus events and other on-campus activities.  ENCORE intends to use this media for future educational and promotional purposes as well as articles in the press.  The media might be used for future promotional materials, such as postcards or brochures, ENCORE’s website, articles appearing in newspapers, magazines or online, or for class instruction.


By attending ENCORE Chamber Music and signing the media release, each student (or his or her parent) is agreeing to provide ENCORE Chamber Music with the exclusive ownership and right to use any photograph, video, recording or other media taken or recorded by ENCORE Chamber Music, Baldwin Wallace University, or one of their representatives.  Neither the student nor the parent will have the right to pre-approve any such use or receive royalties or other payments in exchange for such use.  The student and/or parent waives any claim or right of ownership with respect to such media, including, without limitation, a claim of copyright infringement, the misappropriation of the student’s name and/or likeness, or any other similar claim relating to the use or ownership of such media.

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I acknowledge that I have read and agree to the terms set out in the Media Release.

I am signing for: If you are a parent or guardian signing for your child, please write your child's name below.

Today's date
Month
Day
Year
5) Transportation Form

Student name

Are you traveling to campus with a parent or guardian?
Yes
No
Are you bringing a car?
Yes, I am bringing a car and need a parking space.
No, I am not bringing a car and I won't need a parking space.
Yes, I am bringing a car but WILL NOT need a parking space

Only students over the age of 18 may bring a car to campus. Please see the "Vehicle Use" section of the Student Handbook for more information.

Flight Information

What day are you arriving in Cleveland?
Month
Day
Year

If you are driving, please write "N/A"

Provide the TIME that your flight is supposed to land in Cleveland
Time
HoursMinutes

All students must be checked in at BW Univ. no later than 5pm on JUNE 1st 2026

IF YOU EXPERIENCE ANY DELAYS IN YOUR TRAVEL, CONTACT Junghwan @ (216) 559-4015 IMMEDIATELY

What day are you leaving Cleveland?
Month
Day
Year

If you are driving, please write "N/A"

Please provide the TIME that your flight is leaving Cleveland
Time
HoursMinutes

All students must be checked out of the dorms by 10am on June 21st, 2026. If your flight is later in the day, you must arrive at the airport early. There are plenty of restaurants to hang out at in the airport!

6) Repertoire & Faculty Preference (YOUNG ARTISTS & Solo Fellows PROGRAM only)

If you are participating in the Quartet Fellowship Program, you can ignore this form.

Instrument

Please list repertoire you would will have ready to perform at the start of the Summer Academy.

Please list repertoire you would like to study/complete learning while at the Summer Academy.

VIOLINS ONLY: Please choose one option as your preferred group of teachers
Class 1: Jinjoo Cho (full), Jonathan Ong (full), Min-Jeong Koh (week 1-2), Paul Kantor (week 3)
Class 2: Sibbi Bernhardsson (week 1), Stephen Miahky (week 2), Timmy Chooi (week 3), Brendan Shea (full), Dorothy Ro (full)

ENCORE faculty employs a team-teaching approach, which means that students will have a chance to take lessons with a variety of teachers during the Summer Academy. Student requests will be taken into consideration when making the lesson schedule; however please note that ENCORE is unable to accommodate all requests.

If you are preparing for a competition, for college or grad school auditions, or for any other upcoming solo performances that you'd like ENCORE faculty to know about, please list those here.

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