*-Required
Small Group Registration

Use this form if you have been enrolled in a CCJA program previously. If you are new to CCJA, please fill out an application form for the small group program first (on the small group program page.)


*Session
Fall
Winter
Spring

*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 Greeley location

Please check all that apply:
I have read and agree to the payment policy
I am making a half payment to secure my place , and I will remit the second half on or before the 5th rehearsal
I am making a full tuition payment
I am making payment online
I am sending a check

*Student Name

*Instrument

*School

*Grade

*Parent(s) Name

*phone 1

Phone 2

Student email

*Parent email

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