Register for Jazz Camp -

Are you filling out this form for someone who is under 18 years of age?

No
Yes

Parent/ Guardian Name *

First

Last

Parent/ Guardian Phone *

Please provide the best phone number to contact you during camp hours.

Parent/ Guardian Email *

Participant's Name *

First

Last

This is the name of the person attending camp.

Have you attended a Sierra Jazz Camp before? *

No
Yes

How long have you been playing your instrument/singing? *

Do you have experience playing in a large Jazz Ensemble? *

No
Yes

Do you have experience playing in a small Jazz Combo? *

No
Yes

Do you have experience improvising?

No
Yes

Tell us about your playing experience.

What instrument do you play? *

This will be your primary instrument at camp and will be used to determine ensemble placement.

Do you play any other instruments?

Camper's Age *

Dietary Preference (check all that apply) *

Does the camper have any known allergies? *

No
Yes

Allergy information we should be aware of.

Parent/ Guardian Information

Parent/ Guardian Name *

First

Last

Primary Phone *

Please provide the best phone number to reach this person during camp hours.

Secondary Phone

Please provide an alternate phone number if available.

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Name *

First

Last

Please provide an emergency contact name should we not be able to contact you in the event of an emergency.

Emergency Phone Number *

Please provide an emergency phone number should we not be able to. contact you at any of the numbers listed above in the event of an emergency.

Questions or Comments