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Please complete the fom below for registration. All fields marked with an (*) are required.

Important: In order to display the appropriate tuition pricing, please indicate whether or not you are a returning student by selecting “yes’ or “no” for the question “Did you attend Jazz Camp in 2018.”

If you are making corrections to your registration and pricing is not showing, please re-select “yes” or “no” for this question.

Camp Registration

Student First Name *

Student Last Name *

Street Address *

City *

Zip Code *

State (Home) *

County/Parish *

Parent/Primary Email
used for all communications *

Parent/Primary Phone
used for all communications *

Student Mobile

Student Age

Current School *

Grade *

School City *

School State *

Are you currently studying music in school? *

Yes No

If no, how are you receiving instruction?

Primary Instrument *

Number of Years *

Name of Instructor(s)

T-Shirt Size

How did you hear about camp?

Campaign

Did you attend Jazz Camp in 2018? *

Yes No

Parent Information

Parent First Name *

Parent Last Name *

Parent Address *

Parent City *

Parent State *

Parent Zip Code *

Parent Email *

Parent Phone *

Parent Mobile

Online Registration Form

2019 Louis “Satchmo” Armstrong Summer Jazz Camp