Wilmington Youth Jazz Band 2026 Spring Season
Please fill out this form to register for the Wilmington Youth Jazz Band. Session Dates : 3/4/2026 - 5/27/2026 Wednesdays: 6:00 - 8:00PM Location: TBD
Student's Full Name
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First Name
Last Name
Full Name of Parent or Guardian
*
First Name
Last Name
Parent’s Email Address
*
example@example.com
Parent's Telephone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Current School
*
Grade Level
*
Please Select
5th
6th
7th
8th
9th
10th
11th
12th
Student's Email - If the student has their own personal email address, please enter it below.
example@example.com
Student's Phone Number - If the student has their own cell phone number, please enter it below.
Please enter a valid phone number.
Instrument(s) played and/or of interest
*
Flute
Clarinet
Alto Saxophone
Tenor Saxophone
Baritone Saxophone
Soprano Saxophone
Piano/Keyboards
Bass
Guitar
Vocalist
Other String Instrument (Violin, Cello, etc)
Trumpet
Trombone
Baritone
Tuba
Drums/Percussion
Other
Years of musical experience
*
Never Played Before
1 to 2 years
3 to 5 years
6+ years
Is your student eligible for the free or reduced school lunch program? If so, please visit https://form.jotform.com/240286478690063 to complete the financial aid application.
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Yes
No
Student Demographic Information (please check all that apply)
*
White/ Caucasian
Black/African-American
Hispanic or Latino
Native American or American Indian
Asian / Pacific Islander
I do not wish to respond.
Other
What is the student's T-shirt size?
How did you hear about us?
Release
By registering for the Wilmington Youth Jazz Band, you agree to following release:I hereby grant the Wilmington Youth Jazz Band permission to use my and my child's likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.I understand and agree that all photos will become the property of the Wilmington Youth Jazz Band and will not be returned.I hereby irrevocably authorize the Wilmington Youth Jazz Band to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.I hereby hold harmless, release, and forever discharge the Wilmington Youth Jazz Band from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR REGISTRATION BELOW.
Agreement
*
I agree
I do not agree
Submit and Pay Registration
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