Jazz Instrument Class Sign-Up

Thank you for your interest in our Jazz Music Classes! Please fill out the form below to register. Ensure all information is accurate and complete.

Student Information

First Name

Last Name


Date of Birth

Gender

Street Address

City

State/Province


Postal/Zip Code


Phone Number

Email Address

Parent/Guardian Name (if under 18)

First Name

Last Name

Emergency Contact Information

First Name

Last Name


Phone Number

Class Selection

Please select the class(es) you wish to enroll in:

Preferred Schedule

Preferred Start Time

Musical Background

Years of Musical Experience

Primary Instrument(s)

Other Instruments Played

Have you taken jazz classes before?

Do you read sheet music?

Are you currently part of any musical group/band?

Payment Information

Class Fee per hour:

$0.00

Group Size (Private (1-on-1) : full price, Small group (2-6 people): 20% discount)

Total Class Fee per hour:

$0.00

Payment Method:

Terms and Conditions

  • I understand that payment is due before the start of the class.
  • I agree to adhere to the class schedule and notify the instructor in case of absence.
  • I understand that refunds are only available if requested at least 7 days before the class start date.
  • I grant permission for photos/videos taken during classes to be used for promotional purposes.

Signature


Thank you for registering! We look forward to helping you explore the world of jazz music!


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