FJS 2026 Summer Jazz Camp Form

Pick your week or register for both Summer Jazz Camp Weeks! Camp location will be Restoration Church 7899 Opossumtown Pike in Frederick, MD 21702. It is near Frederick Community College*

June 22-26, 2026 with a Friday night concert, 10a to 2 pm, bring a lunch each day!
Camper Name*

First NameLast Name
Participant Email*
example@example.com
Participant Mobile Number*
Please enter a valid phone number.
Participant Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participant Date of Birth*

MonthDayYear
Date
Gender*
What grade will you be entering this fall?*
What school will you be attending this fall?*
What is your T-shirt size*

Adult XSAdult SmallAdult MediumAdult LargeXLXXL
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*
Can the student read music notation?*

Yes I can read musicNo I cannot read music
Can the student easily find notes on their instrument?*

Yes I canNo I cannot
Emergency Contact Name 1*

First NameLast Name
Emergency Contact Name 2

First NameLast Name
Emergency Contact Mobile 1*
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.*
Please verify that you are human*
Do you give consent for my camper to be potentially used in social media for promotional purposes?*

YesNo
How did you hear about the camp?*

My Products*

EARLY BYRD SPECIAL Jazz Camp Week June 22This is for all registrations prior to May 15th.

$325.00 Quantity

Jazz Camp June 22 Week

$375.00 Quantity

Total

$0.00

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