Naptown Jazz Kids Summer Program

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Naptown Jazz Kids Summer Program - 2020

Naptown Jazz Kids Summer Program - 2020

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$350.00

$300.00

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Join us for a week-long day camp where we will immerse ourselves in the great American art form of jazz.

For Rising 6th - 12th graders

Musician First Name *

Musician Last Name *

Instrument *

Musician's email address

School Name

Musician's grade this coming Fall

Number of years playing instrument *

Number of years playing jazz (if any) *

Private teacher name (if applicable)

Medications

Allergies *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *

Emergency Contact – First Name, Last Name, Phone #, & Relationship to Musician

Parent Guardian Cell Phone number

If your musician will need to have access to any medications while at camp, describe the medication & dosing.

Authorized to Pickup - If there are individuals other than yourself or your emergency contact who will be picking up your musician, please provide name and phone number *

Referred By

Medical Insurance Carrier *

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