Jazz-Girls-Day-Educator-Registration – Jazz Arts Group of Columbus

Basic Information
Name*
First Last
Gender
Optional…would you prefer to display your pronouns on the JGD name tags?
Other optional pronoun choice

Please provide your preferred pronoun set if not listed on the previous field
Position*
School District
School Name*
Instrument*

includes voice
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.
Jazz Experience*
Shirt size
JGD shirts will be available for purchase on site. This will help us get an estimate of how many to order.
Releases and Permissions
Photo Release*
I understand that there will be occasions that photos and videos are taken of the Jazz Girls Day and its participants for promotional and documentation purposes, and by signing the application form, furnish permission for my likeness to be used for the above-mentioned purpose.
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Basic Information