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

Basic Information

Name*

First Last

Gender

Age*

Would you prefer your pronouns are displayed on your nametag?

Other optional pronoun choice

Please provide your preferred pronoun set if not listed on the previous field

Instrument*

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.

Describe your experience in jazz.

This could include playing in a jazz ensemble, taking lessons, attending a collegiate music program, etc.

Are you planning on auditioning for All-State or the Columbus Youth Jazz program?

Select All
All-State
Columbus Youth Jazz
I’m not sure
No, I’m not planning on auditioning

Select all that apply

Shirt size

All participants will receive a free Jazz Girls Columbus shirt.

School Information

Grade*

School Name*

School District

Band / Jazz Band Director*

Band Director email*

Private Instructor

Private Instructor email

Parent/Guardian Information

Parent/Guardian Name*

First Last

Required if student is a minor

Parent/Guardian Email*

Parent/Guardian Phone*

Parent/Guardian Address (if different than student address)

Street Address City State ZIP Code

Suggested Donation

The Jazz Academy program is available to everyone at no cost, though we estimate its value at $100. Your participation is invaluable in sustaining these initiatives for the future, and we’re sincerely grateful for your support.

Releases and Permissions

Photo Release*

I understand that there will be occasions that photos and videos are taken of the Jazz Girls Columbus and its participants for promotional and documentation purposes, and by signing the application form, furnish permission for me/my minor child’s likeness to be used for the above-mentioned purpose.

CAPTCHA

Total

$0.00

Jazz Girls Columbus Student Registration Form

Basic Information

Mailing Address

School Information

Parent/Guardian Information

Releases and Permissions