*Student Name

*Instrument

*School

*Year you will graduate High School

*Parent(s) Name

*Address: Street

*Address: City, State, Zip

*Phone 1

Phone 2

Student email

*Parent email

Band Director's Name (if applicable)

*How long have you been playing your instrument?

*How long have you played jazz?

*What musical groups do you currently play in?

*Do you take private lessons? If so, with whom?

*Who are your favorite jazz artists?

*What do you hope to get out of your participation in CCJA's small group program?

*Location

I prefer the DU location (Tues)
I prefer the Highlands Ranch location (Tues)
I prefer the CU Boulder location (Mondays)
I want to be considered for the Latin Ensemble (DU only)
I prefer the Ft Collins location (Tues)

*Session

Fall
Winter
Spring

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