FJS Workshop Registration Form

Workshop Details

Please don't hesitate to call 240.513.8824 with any questions or cancellations. The location will be Restoration Church 7899 Opossumtown Pike, Frederick, MD 21702 The fee is monthly, regardless of how many weeks are in the month or if holidays impact the schedule. (it all works out in the end lol). The Workshop provides a Drum set, keyboard, bass amps, guitar amps, and microphones. Just bring your sticks, instruments, and creativity. The adult section of the workshop will be done on a day and time that works for the participants; that may or may not be on Sundays.
Participant Name

First NameLast Name
Participant Email
example@example.com
Participant Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Registering as a middle school student, high school student or adult over 18 years of age student?
Participant Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
If a student, what is your current grade?
What instrument will you be concentration on?
Can the musician read music?
Can the musician find notes on their instrument ?
Is the musician currently taking private lessons or has the student taken private lessons in the past?
Emergency Contact Name 1

First NameLast Name
Emergency Contact Name 2

First NameLast Name
Emergency Contact Number 1
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Number 2
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email 1
example@example.com
Emergency Contact Email 2
example@example.com
Any allergies?
I give consent to be used in social media for promotional purposes
Please verify that you are human
How did you hear about us??
For rehearsals please drive around the

BACK of Restoration Frederick.

Come to the white door FURTHEST AWAY from the playground.

You should see a sign on the door that reads SHED. Enter there!

Student Workshop rehearse Tuesdays 7pm

Adult Workshop & Jazz Discovery rehearse Thursdays 6pm

Vocal Workshop meets Thursdays 7pm

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Jazz Combo Workshop Adult or Student

It is a MONTHLY fee. We will charge the card on file each month unless you indicate otherwise. Register here for adult and student sections

$150.00 Quantity

Adult Jazz Discovery

Are you new to Jazz - but also new to your instrument too? This is your class! Select this option for all things discovery!!! It is a MONTHLY fee. We will charge the card on file each month unless you indicate otherwise. Discovery

$150.00 Quantity

The JAZZ BUNDLE!

A monthly fee of Workshops + 2 hours of private improvisation lessons, a $30 savings!! The 2 hours of lessons can be broken up into weekly 30min sessions and must be used within 30 days of the first session. It cannot be carried over to future months. Each month the bundle can be renewed.

$300.00 Quantity

Vocal Workshop

It is a MONTHLY fee. We will charge the card on file each month unless you indicate otherwise. Register here for adult and student sections

$150.00 Quantity

Total

Debit or Credit Card
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Credit Card Number	Security Code
Expiration Month	Expiration Year

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Workshop Details

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