Jazz Collective Youth Ensemble Camp Registration

Name of school attending in school year 2023-24(Required)

Name of Band Teacher

Please describe any background in music theory - classes, lessons, ability, etc(Required)

Date of Birth(Required)

If student is NOT a member of their school band program, and one exists, please explain why:(Required)

Name of private lessons teacher? (if applicable)

Student Phone Number(Required)

Student Email Address(Required)

Student Address-City-State-Postal Code/Zip-County(Required)

1st Parent Phone(Required)

1st Parent Email(Required)

2nd Parent Phone

2nd Parent Email

Jazz Ensemble Registration Form