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 email us at education@jmih.org 
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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 - choose all that apply *
Required
Which workshop are you interested in booking? *
Does your school currently offer music or arts education?
Clear selection
What music knowledge does your group possess? *
Required
First Choice: Requested Workshop Date and Time (10:30 AM to 4:00 PM) *
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Time
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Second Choice: Requested Workshop Date and Time (10:30 AM to 4:00 PM) *
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Time
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Any specialty topics or areas of interest around which you would like this workshop to framed?
Are you a Title I School? *
Any special accommodations? *
Including severe allergies, physical, or learning disabilities.
What language(s) does your group speak?
Other than English
How will you be paying for your workshop?
Are you interested in adding live music your workshop?
Submit
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