JazzCo Registration 2020

JazzCo Registration
Child's Name*

First NameLast Name
Parent's Name*

First NameLast Name
Parent's Email*
example@example.com
Parent's Daytime Phone Number*
Child's Grade*
Child's Teacher*
Person who will pick up child from club*
Emergency Contact (Name & Daytime Phone Number)*
Payment Information

A transaction fee of 2.9% + 30 cents will be added to your total club fees to cover the credit card fee.

Total Fees (including Transaction Fee)*

JazzCo registration$123.78

Total $0.00