2017 Jazzschool Summer Youth Program Enrollment Form
Students may sign up for 1 or 2 weeks.

Once your enrollment form has been received, you will be contacted by phone to finalize payment and schedule a placement audition. Note: Returning students may not need to audition.

Student Name
Last Name, First Name
Your answer
Parent/Guardian Name
Last Name, First Name
Your answer
Parent/Guardian Phone number
Your answer
Parent/Guardian E-mail Address
Your answer
Parent/Guardian Mailing Address
Your answer
Student Birthdate
Your answer
Student's Primary Instrument
Your answer
Weeks Enrolled
Students may sign up for one or both weeks. Tuition for one week is $495. Tuition for two weeks is $900
Anything else we should know?
Please list any special needs, relevant medical issues, etc. All information is confidential.
Your answer
Are you interested in purchasing a Jazzcaffè daily lunch package?
The onsite Jazzcaffe can provide a daily lunch for students at an additional charge of $50 per week.
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