Name: PBJ & Jazz: Songs of the Season
Start: 2021-12-11T11:30:00-05:00
End: 2021-12-11T12:30:00-05:00
Location: Club Lincoln

Are you a returning Jazz Academy participant?
Past participants of Jazz Academy programs may receive discounted registration fees for current programming.
Past Participant?*
Please tell us if you are a past participant in Jazz Academy programming.
Jazz Academy Programs
Each week runs Monday through Friday, 12:00 to 3:30 PM.
Columbus Community Jazz Band
October 13 - November 17 ; Wednesday nights, 6-8 PM
Price: $35.00

Personal Information
Student Name*
Age (if under 18)
Primary Instrument*
Please Explain
Any Additional Information

e.g. "Alto and Tenor" "Can also play clarinet"
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Ex. (123)456 - 7890
Parent Information
This section is required if the student is under 18 years old.
Parent's Name
First Last
Parent's Email
We will be sending important information via email so please be sure to check this mailbox regularly.
Parent's Phone

Contribution
Yes, I wish to support the Jazz Academy with a tax-deductible contribution. The Jazz Arts Group appreciates gifts of all amounts; however, due to space constraints, only gifts of $50 or more will be printed in the JAG playbill.
Contribution Amount $
Please check the box below.*
I understand the COVID protocols associated with this program.
Please check the box below.*
I understand that there will be occasions that photos are taken by Jazz Arts Group staff members for promotional reasons, and furnish my permission for the registrant's likeness to be used for the above mentioned purposes.
Payment Method*
- Paypal
- Check
- Cash
- I have received a scholarship for this program.
Total
Total
$0.00
CAPTCHA

Classes & Workshops Registration

Step 1 of 4

Are you a returning Jazz Academy participant?

Jazz Academy Programs

Personal Information

Parent Information

Contribution

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