SAJE Registration - 2017
Are you a returning member?
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Gender:
Parent's Last Name *
Your answer
Parent's First Name *
Your answer
Student's instrument(s) *
Your answer
Student's Grade in the 2017-18 year *
Your answer
Student's 2017-2018 School *
Your answer
Parent's Phone number *
Your answer
Parent's Email address *
Your answer
Student's Email address
Your answer
Student's home phone number *
Your answer
Mailing address - Street address, City, State, Zip *
Your answer
T-Shirt Size (Adult Sizes) *
Which Groups are you interested in: (check all that apply) *
visit http://spokaneallcityjazz.org/school-year-program for more info - Days and times are subject to change.
Required
Emergency Information
Health concerns, allergies or disabilities of child/ward:
Your answer
Emergency Contact Name: *
Your answer
Emergency Contact Phone Number: *
Your answer
Relationship to student:
Your answer
Health Insurance Company and Policy#
Your answer
Terms and Contitions
EXPECTATIONS: Regular attendance and focused participation in the weekly lessons is the most important aspect of the SAJE experience. Absences must be reported to the SAJE Director or Administrator prior to rehearsal.

In order to be a part of the Spokane All-City Jazz Ensembles, the student agrees to model the following behaviors both in the All-City Jazz Ensembles and his/her school jazz program:

• Willingness to work with the instructor and other students and have a positive attitude
• Active and focused participation in the group experience
• Prepared: All students will come to lessons prepared to play – with your instrument and everything you need for full participation in the lesson.
• On Time: Any student who is 10 minutes late for a lesson will be marked absent for that lesson.
• Attendance at all lessons and concerts is critical to the success of the individual student as well as the other students. If a student misses two lessons, the student will not be allowed to perform in the next concert.
PERMISSION AND RELEASE: I, the parent or guardian of the above-named child/ward, give my permission for his/her participation in all activities, lessons and performances of the Spokane All-City Jazz Ensembles. I hereby release and discharge the Spokane All-City Jazz Ensembles, its agents, directors, and volunteers who participate in or conduct activities on behalf of Spokane All-City Jazz Ensembles from all claims, demands or actions which the parent or guardian’s heirs, executors, administrators or assigns may have, against the Spokane All-City Jazz Ensembles, its successors or assigns, for all personal injuries, known or unknown, to my child/ward and injuries to property, real or personal, caused by or arising directly or indirectly out of any activities conducted by Spokane All-City Jazz Ensembles, including, but not limited to, scheduled activities, lessons and performances.

PUBLICITY WAIVER: I give permission for the Spokane All-City Jazz Ensembles to use the likeness of my child in published format, including, but not limited to: Internet, newspaper, magazine, printed or recorded materials, and television.

EMERGENCY AUTHORIZATION: If neither parent nor the guardian of a student can be reached, I hereby authorize the Spokane All-City Jazz Ensembles or its agents or volunteers to take my child/ward to the nearest available physician or facility for medical treatment in the event of any emergency. I authorize any licensed physician or medical facility to treat my child or ward.
If your child has a life-threatening condition (allergy, asthma, diabetes, etc), please contact us with more detailed health information so in the event of emergency we can act appropriately.

I, the parent or guardian, have read this registration and release and understand all of its terms, and I execute it voluntarily and with full knowledge of its significance. *
Required
Name of person agreeing: *
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You will be invoiced with your confirmation email within a week so you can pay at your convenience. Payment due before Nov 10. If you prefer to pay now online, you will be given an option to do so after you push submit.
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