Girls-Project-Registration – Jazz Arts Group of Columbus

Columbus Youth Jazz Girls Project Registration Form

Basic Information
Name*
First Last
Please describe your experience with jazz.*
What is your comfort level with improvisation?*
Jazz Girls Columbus Participation
- I understand that in order to participate in the CYJ Girls Project I am required to attend Jazz Girls Columbus on Saturday, April 13th, 9:30-4pm.
Placement Audition Video Upload

Students are encouraged to upload a link of themselves playing/singing one jazz tune of their choice. Improvisation is encouraged but not mandatory. Files should be uploaded to Google Drive, Dropbox and other cloud based platform and then the link pasted in this text field.
Primary Instrument*
Please note, at this time the CYJ Girls Project is no longer able to accept guitarists or bassists.
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 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*
Gender*
Preferred Pronouns*
Please let us know your preferred pronouns.
School Information
Grade*
School Name*
School District*
Band / Jazz Band Director*
Band Director email*
Private Instructor*
Private Instructor email*
Parent/Guardian 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!
Parent/Guardian Name*
First Last
Parent/Guardian Email*
Parent/Guardian Phone*
Parent/Guardian Address (if different than student address)
Street Address City 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.
CAPTCHA

Columbus Youth Jazz Girls Project Registration Form

Basic Information
Name*
First Last
Please describe your experience with jazz.*
What is your comfort level with improvisation?*
Jazz Girls Columbus Participation
- I understand that in order to participate in the CYJ Girls Project I am required to attend Jazz Girls Columbus on Saturday, April 13th, 9:30-4pm.
Placement Audition Video Upload

Students are encouraged to upload a link of themselves playing/singing one jazz tune of their choice. Improvisation is encouraged but not mandatory. Files should be uploaded to Google Drive, Dropbox and other cloud based platform and then the link pasted in this text field.
Primary Instrument*
Please note, at this time the CYJ Girls Project is no longer able to accept guitarists or bassists.
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 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*
Gender*
Preferred Pronouns*
Please let us know your preferred pronouns.
School Information
Grade*
School Name*
School District*
Band / Jazz Band Director*
Band Director email*
Private Instructor*
Private Instructor email*
Parent/Guardian 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!
Parent/Guardian Name*
First Last
Parent/Guardian Email*
Parent/Guardian Phone*
Parent/Guardian Address (if different than student address)
Street Address City 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.
CAPTCHA

Columbus Youth Jazz Girls Project Registration Form

Basic Information

Mailing Address

Personal Information

School Information

Parent/Guardian Information

Releases and Permissions

Columbus Youth Jazz Girls Project Registration Form

Basic Information

Mailing Address

Personal Information

School Information

Parent/Guardian Information

Releases and Permissions