Jam Street 2021-2022 Registration
Email *
Student First and Last Names
Student's Date of Birth
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Age on September 1, 2021
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What grade will student be in for 2021-2022 school year?
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What school does student go to?
What lessons would the student like? (check all that apply)
Which instrument would the student like to play as their PRIMARY instrument in band?
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Which instruments would the student like to play as extra instruments in their band lesson? (check all that apply)
Which instrument would the student like to learn as their PRIMARY instrument in private lessons?
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Which other instrument would the student like to learn during their private lessons?
Student E-mail
Student Cell Number
Mother/Guardian's Name
Mother/Guardian's Cell Number
Mother/Guardian's E-mail
Father/Guardian's Name
Father/Guardian's Cell Number
Father/Guardian's E-mail
Please select availability (please check all available options)
Let me know if there is anything else I should know!
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