Pick your week or register for both Summer Jazz Camp Weeks!
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I - June 17 - 24, 2024, 10a to 2pm, bring a lunch each day!
II - July 8 - 12, 2024, 10a to 2pm, bring a lunch each day!
Weeks I & II
Camper Name
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First Name
Last Name
Participant Email
*
example@example.com
Participant Mobile Number
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Please enter a valid phone number.
Participant Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Participant Date of Birth
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-
Month
-
Day
Year
Date
Gender
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Please Select
Male
Female
Prefer not to answer
What grade will you be entering this fall?
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What school will you be attending this fall?
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What is your T-shirt size
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Adult XS
Adult Small
Adult Medium
Adult Large
XL
XXL
What instrument will you be concentrating on for the week(s)? If a vocalist please list vocal and if signing up for both weeks, please indicate if you are playing a different instrument for each week
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Can the student read music notation?
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Yes I can read music
No I cannot read music
Emergency Contact Name 1
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First Name
Last Name
Emergency Contact Name 2
First Name
Last Name
Emergency Contact Mobile 1
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Please enter a valid phone number.
Emergency Contact Mobile 2
Please enter a valid phone number.
Emergency Contact Email 1
*
example@example.com
Emergency Contact Email 2
example@example.com
Does the student have any allergies or medical conditions we should be aware of? If so please list. If not, please say NONE.
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Please verify that you are human
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Submit
Do you give consent for my camper to be potentially used in social media for promotional purposes?
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Yes
No
How did you hear about the camp?
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Have more than one cat in your household
(
a musician in your home
) ?
Email
booking@ericbyrdtrio.com
for
your family discount!
My Products
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Summer Jazz Camp starting JUNE 17
JUNE WEEK ONE ONLY
$
350.00
Quantity
1
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Summer Jazz Camp starting JULY 8
JULY WEEK TWO ONLY
$
350.00
Quantity
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BOTH SUMMER JAZZ CAMP WEEKS in June and July!!!!
June and July weeks!! I want it all!!
$
600.00
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EARLY BYRD SUMMER JAZZ CAMP starting June 17
If registered by June 1st
$
300.00
Quantity
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9
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EARLY BYRD SUMMER JAZZ CAMP starting July 8
if registered by June 1st
$
300.00
Quantity
1
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10
Credit Card Details
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Last Name
Credit Card Number
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