Returning Member Registration – Jazz Academy

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Returning Member Registration

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Returning Student Application
Type of Program*
Register for one (1) program type. Former Orchestra Register as a Returning Member. *Summer Coltrane Students can REGISTER as a RETURNING MEMBER except Drummers, Bassists and Pianists.
Student Name*
First Last
Student Email Address
Main Instrument*
*Summer Coltrane Students can REGISTER as a RETURNING MEMBER except Drummers, Bassists and Pianists.
Additional or Other Instrument(s)
List Attendance Year (20XX, 20XX)
Polo and T-shirt Size*
Adult
School
Prior JAM Student
"NEW" Orchestra Student must go through the Audition process except JAM Camp Summer Coltrane Band Members. (Except Pianists, Bassists and Drummers from JAM Camp)
School Information
City and State
Home Information
Grade This Fall 2024*
Home Address
City, State, and Zip Code

FULL SCHOOL TERM BAND MEMBERSHIP
By submitting this form you are committing the aforementioned student to a full school term membership.
Parent/Guardian Information
Parent Name (P1)*
First Last
Relationship to student?
Primary Email Address*
Parent Name (P2)
First Last
(P2) Additional Email Address
DECLARATION
Are you the parent and/or legal guardian?*
- Yes
All information included on this application is true and correct.
- Yes
- No
EMERGENCY CONTACT(S)
If I/We, the parents/guardians, cannot be reached in an emergency, please call:
Name
Relationship
Phone
THANK YOU!!
SURVEY QUESTION
How did you hear about the Jazz Academy of Music?