Junior Academy - Returning Registration Form

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Please complete this form to re-apply for the upcoming session of JHFA Junior Academy.

This form is for REGISTERING RETURNING STUDENTS ONLY.

Do NOT complete this form if your child is a: New Student or First Time Student

If you are a new or first time student, complete our JHJA New Student Intake Form (link).

If your child is age 18 or older and is interested in applying to the Jazz Hands Musicians Academy (JHMA), they can apply as a new student here: JHMA New Student Intake Form (Adults). (JHMA is more focused on professional and job training and supporting your child in having a music related career.)

For other inquiries, email us at info@jazzhandsforautism.org

Email *

Which session are you applying for? *

Session 9 (6/12/2023 - 9/4/2023) 11 weeks

Session 10 (9/18/23 - 10/9/23) 11 weeks

Session 11 (2/2/24 - 3/16/24) 11 weeks

Session 12 (3/18/24 - 6/8/24) 11 weeks

Session 13 (6/10/24 - 8/31/24) 11 weeks

Parent Name *

Best phone number to contact you *

Student Name *

Student Birthday *

YYYY

Instrument Class *

Guitar

Piano

Other:

Lesson Duration *

30 min

45 min

60 min

Other:

How many lessons per week? *

Other:

Class Format *

Online

In Person (Home)

In Person (Studio - Culver City)

Other:

Would you like to keep the same schedule?

Yes

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