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Please fill out the form below to register for the Spring 2025 semester of the Columbus Youth Jazz program.
Basic Information
Which Youth Jazz program are you registering for?
*
Spring Instrumental Combos* (meets 2-3:30pm on Sundays)
Spring Vocal Lab (meets 1:00-3:00pm on Sundays)
*Please Note: the Spring Instrumental Combos are currently at capacity for piano players. At this time we can not accept any new registrations for piano
Audition Date
*
Sunday, January 5th (All Vocal Lab students & New Instrumental Combos students)
I am a returning student from the Fall 2024 Instrumental Combos
Request a Virtual Audition (Requires approval by CYJ Staff)
Please see the website for exact time breakdowns for each program's audition time.
Name
*
First
Last
Primary Instrument
*
Choose One...
Saxophone
Trumpet
Trombone
Guitar
Bass
Drums
Vocalist
Other
Please Note: the Spring Instrumental Combos are currently at capacity for piano players. At this time we can not accept any new registrations for piano
Please explain
E.g. "I play bari and tenor" "I play electric and upright bass" "I also play trombone"
Email
*
Primary Phone
*
Secondary Phone
Mailing Address
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County
*
Please tell us the county in Ohio in which you reside.
Personal Information
The below information is collected only for the purpose of documentation required by grant applications that support the Jazz Arts Group. It will not affect your eligibility for participation in the Youth Jazz program.
Age
*
Ethnicity
Gender
Male
Female
Non-binary
Other
Prefer not to say
Preferred Pronouns
He/Him
She/Her
They/Them
He/They
She/They
Other
Please let us know your preferred pronouns.
School Information
Years Played
Grade Level (2024-25 Academic Year)
*
School Name
*
School District
*
School Music Director
*
Band, choir, etc.
School Music Director Email
*
Private Instructor
*
Private Instructor Email
*
Parent Information
Does your student have reliable transportation?
*
Yes, myself or a family member/guardian will be transporting them
Yes, they will be driving themselves
No, they need carpooling
I'm not sure yet
Saying yes or no does NOT influence your student's placement or participation in our programming, but rather allows us to know ahead of time to assist in finding carpooling if needed!
Would you be interested in being added to our CYJ carpool list to give a student in need a ride?
*
Yes
No
Unsure
In the event of a student needing a ride, we may contact you to setup carpooling to and/or from the Jazz Academy on Sundays.
Parent/Guardian Name
*
First
Last
Parent/Guardian Email
*
Parent/Guardian Phone
*
Parent/Guardian Address (if different than student address)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Releases and Permissions
Photo Release
*
I understand that there will be occasions that photos and videos are taken of the Youth Jazz program and its participants for promotional and documentation purposes, and by signing the application form, furnish permission for my minor child's likeness to be used for the above-mentioned purpose.
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