Jazz Workshop Sign-Up

Learn to play Jazz!

Complete and submit the form below and you will be contacted about the next Jazz Workshop.

Today's Date (Required)

Your Name (Required)

Your Email (Required)

Date of Birth (Required)

If you are a minor - Parent's name(s)

Parent's Email

Parent's Email 2

Address (Required)

Address Line 2

City (Required)

State (Required)

Zip (Required)

Home Phone

Mobile Phone (Required)

Work Phone

Preferred method of contact: email or phone? (Required)

(If phone, please specify: home; work; or mobile)

Please list any food allergies or medical conditions: (Required)

What instrument do you play? (Required)

Drummers: Right-handed or Left-handed? (Required)

How long have you been playing? (Required)

Do you read music? (Required)

If applicable, what school do you attend? What grade are you in?

Are you currently studying privately? (Required)

If "Yes" to the above question, who is your private teacher?

Please indicate your level of theory/harmony? (Required)

What is your level of understanding of chord structure and chord scales? (Required)

Have you played in a group before? Are you currently in a group? (Required)

Do you play any other instruments? (Required)

Please list your availability — days & times: (Required)

Please use the area below for any questions. Thank you!