Registration Form
Please complete and submit by April 29, 2019, to insure receiving a T-shirt. While this is a tuition-free program, there is a $30 Registration/Supply Fee to cover program administrative costs, program expenses, supplies and a 'custom' t-shirt. Please follow the directions at the end to submit payment no later than April 29, 2019. If you are mailing the fee, allow sufficient time for delivery to insure we receive payment no later than April 29th.

Registrations received after April 30th will only be considered if there is space. NOTE: Receiving a t-shirt will not be guaranteed for students registering after April 30th.

You will be notified by email of Level Placement no later than Friday, May 10th. The email will come from 'TucsonJazzMusicFDN@gmail.com' | Please add it to your 'contacts' to avoid our email landing in your spam or junk folder.

At this time we are offering two levels:
Level I ~ beginners in jazz or those with some experience >> meet Mondays & Wednesdays, 9 am - noon.
Level II ~ intermediate/advanced students >> meet Tuesdays & Thursdays, 9 am - noon.
You may attend both levels if you are a beginner on one instrument, and more advanced on another.
NOTE: Advanced students may assist the instructor for Level I. Please inquire about opportunities.

There will be a public presentation at the end of the session.The date, time and location to be determined closer to the event.

Email address *
Student's LAST name *
Your answer
Student's FIRST name *
Your answer
Student's AGE *
Your answer
Name of School (indicate if you are home schooled) *
Your answer
What GRADE will student be entering in the Fall? *
Your answer
Name of current music teacher *
Your answer
Instrument(s) (include vocal, and if you dance) *
Your answer
Do you need to rent your instrument(s)? *
Level of Proficiency for primary instrument *
Required
STUDENT & PARENT/GUARDIAN CONTACT INFORMATION
Please list your preferred emails, phones and BEST TIME TO CONTACT.
Student's CELL or PRIMARY PHONE (area code and dashes) *
Your answer
Student's STREET ADDRESS (include Apt # and ZIP CODE) *
Your answer
Student's DATE OF BIRTH *
MM
/
DD
/
YYYY
Parent/Guardian 1: FULL NAME *
Your answer
Parent/Guardian 1: Preferred Email Address *
Your answer
Parent/Guardian 1: CELL or PRIMARY PHONE (area code and dashes) *
Your answer
Parent/Guardian 2: FULL NAME *
Your answer
Parent/Guardian 2: Preferred Email Address *
Your answer
Parent/Guardian 2: CELL or PRIMARY PHONE (area code and dashes) *
Your answer
SPECIAL ATTENTION
Please list anything we need to be aware of and any emergency contact information. Include food allergies or restrictions as we may provide snacks.
STUDENT SPECIAL NEEDS
Your answer
STUDENT ALLERGIES or MEDICAL CONDITION
Your answer
T-SHIRT
If you want a CHILD's size, please indicate size under 'other.'
T-SHIRT SIZE (unisex adult sizes) (not guaranteed if registering after April 30th - provided there is space) *
TRANSPORTATION
Classes will be held at the Pima Community College Center for the Arts, Drama Bldg, Room 53 (Band Room), West Campus, 2202 W Anklam Rd, Tucson AZ. It is just west of I10 & St. Mary's exit. St. Mary's turns into Anklam. The campus is located at the intersection of Anklam and Greasewood. The Center for the Arts is the tallest building on the east end of the campus.

Please let us know if you have transportation needs. We will do out best to provide you with information on carpool possibilities or share the public transportation options with you.

Will you need to carpool?
Intermediate/Advanced ONLY | AUDITION SUBMISSION INSTRUCTIONS
IF YOU ARE AT THE INTERMEDIATE/ADVANCED LEVEL: Please submit a short audition 'clip' to our Google Drive 'Girls Jazzin' It Up' Folder ~ https://bit.ly/2OOSSWm.

Make sure you identify yourself at the beginning of the clip. State your name, age, and what school you attend. We will then be able to match your clip to this Registration Form.

Please perform the following in your primary instrument:
Level II (intermediate/advanced): Play (to the best of your ability) 6 major scales, 2 octaves; eighth notes at approximately 1/4 note = 120 bpm; 2 chorus solo on a blues (accompaniment optional)

If you play a 2nd instrument, do the same and indicate that it is your 2nd instrument.

MULTI-INSTRUMENTALISTS: You do have the option of attending both levels -- Monday through Thursday -- if you are more experienced (int/adv) on one instrument over the other.

ADVANCED STUDENTS: You may attend Level I as a class 'assistant' if you would like to help beginners. Please inquire about the possibilities. Would look great on a resume/college application.

PAYMENT of REGISTRATION/SUPPLY FEE
You may pay online via a secure PayPal link on our website: https://tjmfdn.org/girls-jazzin-it-up/. NOTE: You do not have to have your own PayPal account. You may use your debit/credit card to complete the payment.

If you are mailing it, send check or money order to: (payable to) Tucson Jazz Music FDN, PO Box 87736, Tucson AZ 85754. Allow sufficient time for mailing so it is received no later than Monday, April 29, 2019. NOTE: Any bank fees we incur for 'insufficient funds' will be passed on to you.

QUESTIONS? Do not hesitate to contact us if you have questions. Email: TucsonJazzMusicFDN@gmail.com, or call 520-743-1349.

WITHOUT PAYMENT, YOUR REGISTRATION WILL NOT BE COMPLETE AND YOUR SPOT WILL NOT BE RESERVED.

COMMENTS - Here's your chance to tell us anything you feel relevant to your registration.
Your answer
Tucson Jazz Music Foundation
PO Box 87736, Tucson AZ 85754
520-743-1349 | TucsonJazzMusicFDN@gmail.com
Contact: Krystyna Parafinczuk, Treasurer / Program Coordinator
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