JAZZ NOW! 2009 ONLINE REGISTRATION FORM
STUDENT'S DETAILS
First Name
*
Surname
*
School
*
Gender
*
male
female
Age
Address
Suburb
Postcode
Email address
First time at JazzCamp?
yes
no
What part do you play in your school swing band?
Do you take solos in your swing band?
Main instrument
Years played
Secondary instrument
Years played
Instrument playing on Jazz Camp
Overall ability on instrument (used as a guide only)
Reading skills (used as a guide only)
Improvisation skills (used as a guide only)
Parent's first name
Parent's surname
If address is different to student, please provide details
Phone
Mobile
Email Address
Do you consent to use any photographs or video footage of your child/ children for promotional purposes?
*
yes
no
How did you find out about JazzCamp?
I would like to receive emails regarding Jam Sessions and other Jazz Now! educational initiatives.
yes
no
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