JOMA Registration Form

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Email *

First Name *

Last Name: *

Date of Birth: *

YYYY

Address: *

Instrument: *

Piano

Guitar

Flute

Saxophone

Clarinet

Drumset

Acoustic/Electric Bass

Voice

Cello

Violin

Viola

Trumpet

Trombone

Ukulele

Percussion

Tin Whistle

Other:

Required

Fall Courses

African Drum & Rhythm Workshop Course (Teens and Adults)

Jazz Band Course (Grades 5 - 9)

Guitar course 1a (beginners)

Guitar Course 1 b (beginners)

Guitar course 2 a (2nd year, intermediate)

Guitar course 2 b (intermediate adults)

Rock Band Course : (Ages 9 - 16)

Music Bus (Ages 3 - 5)

Music Production Course (Grades 8 - 12)

Acoustic & Folk Ensemble (Grades 5 - 9)

Song Writing 101 (Grades 6 - 12)

Tandem Classes

Individual Lessons

Other:

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School Attended (or home schooled): *

Do you plan to use Charter school Purchase Orders? Which Charter school? *

Telephone Number: *

E-mail: *

Instrument: *

Years of Practice: *

What kind of music do you like or listen to? *

Which other instruments do you play (or would like to play)? *

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