T-Shirt Size
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Student's School Information
Current Grade
Type of School
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Additional Student Information
Have you attended Summer Music Clinic before?
Have you attended a different UW Madison Badger Precollege Program before (PACE, STEP, Latino Youth Summit, etc.)?
Past Badger Precollege Program
How did you hear about this program?
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Parent/Guardian Information
Primary Parent/Guardian - First Name
Primary Parent/Guardian - Last Name
The email provided will be used for all important communication with parents/guardians. Please ensure this is an email address that is checked frequently. Please provide the primary Parent/Guardian contact email.
Primary Parent/Guardian Email
Primary Parent/Guardian - Phone Number
Primary Parent/Guardian - Relationship to Participant
Primary Parent/Guardian - Other Adult
Additional Parent/Guardian
Additional Parent/Guardian - First Name
Additional Parent/Guardian - Last Name
Additional Parent/Guardian - Phone Number
Additional Parent/Guardian - Email
Additional Parent/Guardian - Relationship to Participant
Additional Parent/Guardian - Other Adult
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Scholarships for SMC Information
HOW TO APPLY FOR SUMMER MUSIC CLINIC SCHOLARSHIPS
For Students Who Qualify for Free or Reduced Lunch in Wisconsin
Step 1: Register for SMC.
Step 2: Complete the Badger Precollege Scholarship Application Form .
Step 3: Submit the completed application to SMC by April 1.
Email to: smc@wisc.edu
Mail to: Summer Music Clinic, 21 North Park Street, 7th Floor, Madison, WI 53715
Step 4: Complete a Scholarship Acceptance survey upon receiving your award letter from SMC in April.
For Students Who DO NOT Qualify for Free or Reduced Lunch in Wisconsin
Step 1: Register for SMC.
Step 2: Submit the FIRST PAGE of your most recently completed U.S. 1040 Tax Form to SMC by April 1.
Email to: smc@wisc.edu
Mail to: Summer Music Clinic, 21 North Park Street, 7th Floor, Madison, WI 53715
Please note:
PLEASE REDACT SOCIAL SECURITY NUMBERS before submitting.
We specifically require Line 11 (Adjusted Gross Income) to be visible on the form.
You may qualify for a full or partial scholarship. If extenuating circumstances (i.e. loans, loss of employment, medical expenses) are not reflected on your tax return but are affecting your family’s finances, please also submit your financial need story along with the 1040 Tax Form.
Step 3: Complete a Scholarship Acceptance survey upon receiving your award letter from SMC in April
Aid is determined by analyzing family income and economic circumstances according to the Income Eligibility Guidelines used by the U.S. Department of Agriculture’s School Lunch Program.
Please contact SMC at smc@wisc.edu with details and information.
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Parental/Guardian Permissions & Endorsements
Photography/Video Release
Parent/Guardian understands that the University may take photography, audio and video footage of precollege participants and activities. Parent/Guardian agrees that UW-Madison shall be the owner of and may use such photographs for promotion of future Precollege/Youth programs. Parent/Guardian hereby consents to the participation in interviews, the use of quotes, and the taking of photographs, audio or video of the participant named below. Parent/Guardian also grants the right to edit, use, and reuse said products for nonprofit purposes including use in print, on the internet, and all other forms of media. Parent/Guardian understands that data collected during the application process is protected and is used primarily for program related purposes. Non-personally identifiable information might be used for research purposes, program improvement and evaluation.
Data Collection
Parent/Guardian understands that data collected during application process is protected and is used primarily for program related purposes. Non -personally identifiable information might also be used to communicate upcoming educational opportunities.
University Release
In consideration of the student's participation in this precollege/youth program, Parent/Guardian agrees to hold harmless and indemnify the Board of Regents of the University of Wisconsin System, and the University of Wisconsin-Madison, their officers, agents, and employees from any and all liability, loss, damages, costs, or expenses which are sustained, incurred, or required arising out of the actions of my son, daughter, or ward in the course of the event/camp. Parent/Guardian understands the nature of the activity(ies) and understands that participation is voluntary. Parent/Guardian certifies that student is fit to participate in all program activities and choose freely to have my student participate.
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Summary
Terms and Conditions
Refund Policy:
A full refund, minus the $75 nonrefundable registration fee, will be issued anytime between registration and up to 1 month prior to the 1st day of the program. A 90% refund will be issued during the period between 1 month prior to the 1st day of the program and up to 2 weeks prior to the 1st day of the program. An 80% refund will be issued during the period of two weeks before the 1st day of the program up to the opening day of camp. Students dismissed for disciplinary reasons are not eligible for any refund. Students voluntarily leaving while the program is in session are not eligible for any refund.
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Payment
If you plan on applying for a scholarship through Summer Music Clinic, please make sure to apply by April 1 through the directions found here: https://precollege.wisc.edu/smc/financial-information Any questions please contact smc@wisc.edu or 608-263-2242.
A $75 non-refundable registration fee is due at the time of registration. All program fee payments are due by June 1, 2026.
You are NOT required to pay the full program fee amount at this time.
Doing Business As: The charge will appear on your credit card statement as WU-Conference Management.
Cancellation: All requests for refunds must be received in writing to smc@wisc.edu . Refunds may take up to eight weeks to process, starting from the time a written request is received by Summer Music Clinic. Please visit our website at: https://precollege.wisc.edu/smc/financial-information/ for more information regarding cancellation policies.
Privacy Statement: The University of Wisconsin does not sell, rent, trade or distribute any personally identifiable information obtained from clients to a third party, except in cooperation with government agencies or as required by law.
Please contact us at smc@wisc.edu or 608-263-2242.
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