Camp Registration Form

2025 Camp Registration Form
Students ages 8 - 18 years of age
Which program are you registering for?*
Please fill out the following electronic form to register your child for our summer programming.
Student Name*
First Last
Student's Email Address
T-shirt Size (Adult Sizes)
- X Small
- Small
- Medium
- Large
- X Large
- XX Large
Instrument including Vocals
Select your Main Instrument or indicate Vocal?*
List Other Instrument and/or Multiple instruments here:
Number of Years of Experience on Instrument or Singing
Number of Years of Formal Music Training
Previous Training in Jazz Improvisation
- Yes
- No
School
Grade Entering in Fall 2025/2026*
School's Name*
City
State
Zip

Payment Plan or Scholarship Information
Dietary Restrictions*
- Choose One
- No Dietary Restrictions
- Vegetarian
- Vegan
- Other
Please use the Medical Form for specifics
Are you interested in a scholarship or payment plan?
Private Lesson(s)
Additional lessons are $60 per half hour on all instruments.
Are you interested in a private lesson?
Up to 2 ( 1/2 hour ) private lessons are available.
In person JAM Camp sessions will be held at North Chevy Chase Christian Church, 8814 Kensington Parkway, Chevy Chase, MD 20815. Sessions will be held daily indoors at the church. At this time there are no mandates but the Jazz Academy of Music cares about the safety of its students, staff and volunteers. If my child or any one in our family has contact, exposure or has any Covid-19 or variant symptoms 10 days before or during camp then I will report this to the Jazz Academy office immediately at 301-871-8418. Also, I WILL NOT send my child to JAM Camp or JAM Camp Extended Day.*
- Acknowledge and Agree
Required acknowledgment
PLEASE READ
Survey Question
How did you hear about the JAM Camps?
Note other source, including teacher here:

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