JAZZ@Opus Ithaca
Please use this form to register for JAZZ@Opus Ithaca.
Student name (first and last)
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Parent name(s) (first and last)
Your answer
Address
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Parent phone number
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Parent email
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Which part of Jazz@Opus are you interested in registering for? (Please check all that apply)
Age of student
Student is in grade...
Instrument
How long have been playing your instrument?
Your answer
What experience have you had with Jazz before? (e.g. school band, private study, jazz classes/camp at Opus, etc.)
Your answer
School
Your answer
Private Teacher (if applicable)
Your answer
Is your family part of Opus Ithaca?
How did you hear about JAZZ@Opus Ithaca?
VIDEO/PHOTO RELEASE: I give permission to Opus Ithaca School of Music to use photographs and audio and/or video recordings of my child for fundraising and/or marketing purposes. On occasion, with permission, photographs may be included in promotional videos, websites, brochures, newsletters, or similar marketing materials/media. Opus Ithaca respects the privacy of its students and does not allow unauthorized visitors to photograph or video students.
Questions/comments:
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