Jazz Band Request
Thank you for your interest in joining the Jazz Band at Youth Arts Academy by Boys & Girls Clubs of San Dieguito!

Fill out this survey and we will place you on the interest list. When a spot is available, we will contact you with instructions on how to register.

Rehearsals take place at Youth Arts Academy located within the Polster Clubhouse of the Boys and Girls Clubs of San Dieguito on the campus of Camel Valley Middle School.
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Student's Full Name *
Student's Age *
Student's School *
Parent's Full Name *
Primary Phone Number *
Primary Email Address *
Have you participated in Jazz Band at YAA before? *
If yes, which years?
What instrument(s) do you want to play in the jazz band program? *
What other instruments do you play? *
Do you own any of your own instruments?
Briefly describe your experience. (Please list name of programs/instructors, schools, type of program and how many years in each) *
What is one song that you would love to learn to play/perform in Jazz Band? *
Briefly describe how you think YAA Jazz Band can help you in your personal growth, creativity, and self-expression. *
How did you hear about us? *
Message/Comments
YAA's Contact
(858) 720-2194
YAA@bgcSanDieguito.org
www.YouthArtsSD.org
3800-A Mykonos Lane, San Diego, CA 92130
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