• Basic Information

  • E.g. "I play bari and tenor" "I play electric and upright bass" "I also play trombone"
  • Mailing Address

  • 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.

  • School Information

  • Parent Information

  • Photo Release

    I understand that there will be occasions that photos and videos are taken of the Youth Jazz Ensembles for promotional and documentation purposes, and by signing the application form, furnish permission for my minor son/daughter’s likeness to be used for the above-mentioned purpose.