2024/25 JAM WAITLIST
Please fill out this form to be added to the JAM Program waitlist.  If a spot opens up for your child we will contact you. 

Junior Appalachian Musicians (JAM) meets on Wednesdays, from 3:30 - 5:00 at the Black Mountain Center for the Arts. Please see our website for more details regarding exact dates, program expectations, instrument rental, and payment options.

https://www.blackmountainarts.org/jam
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Email *
Parent's Email Address *
We send weekly JAM updates to the email address you entered above. Would you like another family member/guardian to received weekly JAM updates as well? If so, please enter their address below.
Student's First Name *
Student's Last Name *
Student's Age *
Student's Grade *
What instrument is your child interested in learning through JAM? *
Does your child have any experience with this instrument? If so, please elaborate. *
BMCA has a limited number of instruments available for rent. If possible, are you interested in renting an instrument? We will address instrument needs on the first day of JAM on a first-registered, first-served basis.
*
Parent's Name *
Parent's Phone Number (xxx) xxx-xxxx *
Street Address *
City *
State *
Zip Code *
Emergency Contact *
Emergency Contact Phone Number *
Does your child have any special needs/allergies you would like us to know about? *
By submitting this electronic form I give consent for my child to participate in the BMCA JAM program.  I will not hold BMCA liable in case of accident or injury as a result of participating in this program. I authorize medical treatment which might be necessary in the event of an emergency.  The Black Mountain Center for the Arts has my permission to use my or my child’s photograph or other media images such as videos. I understand that the images and videos may be used in print publications, online publications, presentations, websites, and for social media purposes. I also understand and agree that no royalty, fee or other compensation shall become payable to me by reason of such use. Please enter your name below as your signature. *
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