MJI Summer Jazz Camp Registration Form
Please complete and submit this form to sign-up for our 31th Annual Summer Jazz Camp. The $390 or $285 registration fees can be paid online via the "camp details" web page link below, or you can mail a check to PO Box 170472, Milwaukee, WI 53217-0472.

Camp details: https://www.milwaukeejazzinstitute.org/summer-jazz-camp

Questions? Contact us at 414.234.5565 or mji@milwaukeejazzinstitute.org.
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How did you learn about MJI's Jazz Camp? *
Name of student: *
Date of Birth: *
School: *
What year will you graduate (high school or middle school as applicable): *
Main instrument and how long you have played: *
I'm registering for: (note, payments will be collected for Little Big Band and the Ensemble Add-on $145 fee after the instrumentation of these sessions are set.) *
Required
Student T-shirt Size: *
Name of parent or guardian: *
Mailing Address (please include zip code): *
Parent/guardian email: *
Parent/guardian phone number: *
Student email: (optional) (recommended you share a non-school account, such as Gmail or Yahoo)
Student phone number (optional):
MJI Photography & Video Release:  Thank you for being a part of the MJI community! Please complete and sign the form below so we can share MJI activities and continue to promote jazz and grow its audience.

Questions? Contact us at 414.234.5565 or mji@milwaukeejazzinstitute.org.

I hereby authorize Milwaukee Jazz Institute (MJI) and those acting pursuant to its authority to: (i) record my likeness and/or voice on a video, audio, photographic, digital, electronic or any other medium; (ii) use my name and biographical material in connection with such recordings; and (iii) use, reproduce, exhibit, and/or distribute my name, biographical material, and such recordings in any medium (e.g. print publications, video, internet, etc.) for promotional, advertising, educational, and/or other lawful purposes. I release and waive any claims or rights of compensation or ownership regarding such uses and understand that all such recordings shall remain the property of MJI. I certify that I am 18 years of age or older or that my parent/guardian has signed below.
 *
Required
Tuition Assistance:  Tuition assistance is available based on need and availability of funds. Please check the box below to receive an application for assistance.
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