Educational Workshop Request Form
Completing this form will begin your group visit reservation. You will be contacted within 5 business days by a staff member at The National Jazz Museum in Harlem to discuss your reservation. If you have questions, please feel free to call us 212-348-8300 x103
Name of Organization or School
Primary Contact First Name
Primary Contact Last Name
Primary Contact Phone Number
Primary Contact Email Address
Number of guests
Groups of 35 or more may be asked to split into multiple groups, for more information please call us at (212) 348-8300 Ext. 103
Age of Guests
Which workshop are you interested in booking?
Jazz Artist Exploration (Recommended for Pre-K, Kindergarten, or 1st Grade)
Oom Bop Sh’Bam (Pre-K to 3rd Grade)
Born in Harlem (Recommended for all ages)
Changes in Society (Recommended for 7th to 11th Grade)
Jazz Ambassadors (Recommended for high school, college, and adults)
Jazz Hands (Recommended for visitors with developmental and learning disabilities and those on the Autism spectrum)
Does your school currently offer music or arts education?
What music knowledge does your group possess?
Very Little Music Knowledge
Basic Music Knowledge
Advanced Music Knowledge
Performing Jazz Students/Musicians
First Choice: Date and Time (10:30 AM to 4:00 PM)
Second Choice: Requested Workshop Date and Time (10:30 AM to 4:00 PM)
Any specialty topics or areas of interest around which you would like this workshop to framed?
Are you a Title I School?
No, we are happy to pay full fee to support the Jazz Museum in Harlem
Any special accommodations?
Including severe allergies, physical, or learning disabilities.
What language does your group speak?
Other than English
How will you be paying for your workshop?
$10 museum admission per person must be paid 5 days prior to your visit.
Are you interested in boosting your workshop?
$500 for a Live Music Boost
$700 for an Artistic Boost with Senior Scholar Loren Schoenberg (based on availability)
$700 for an Artistic Boost with Christian McBride (based on availability/minimum of 3 months notice)
$700 for an Artistic Boost with Jonathan Batiste (based on availability/minimum of 3 months notice)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service