Introduction to Music Theory Course Registration

JAMM is offering a free, weekly course for 6th-12th grade students. Class will be led by composer and violinist, Elena Levi. Snacks will be provided at the end of class. 

Class Times: Mondays, 6:00-6:45 pm

Dates: February 3- April 29. No class February 17, March 17, March 24

Location: Kax̱dig̱oowu Héen Elementary School, Music Room

Sign in to Google to save your progress. Learn more
Student's full name *
Student's grade and school *
Student's primary instrument *
How long has student been playing primary instrument? *
Does student play any other instrument(s)? If so, what?
This class is tuition free for all interested students. Funding is made possible through JAMM (Juneau Alaska Music Matters) grant funding. 
Does JAMM have permission to photograph your student for grant documentation and publicity purposes?
*
Anything instructor should know about your student?
Parent Name? *
Parents Phone Number: *
Does this number take texts? *
Parent Email: *

WAIVER AND RELEASE:  I recognize that any activity for which I am registering my child involves risk of injury.  In consideration of your accepting this registration, I waive and release any and all rights and claims for damages I may have against the City and Borough of Juneau and JAMM, its employees and agents, for any and all injuries suffered by my child while participating in this activity unless such injury is caused by active negligence of program staff. 

*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report