Columbus Jazz Girls Day Registration

REGISTER FOR THE APRIL 2026 EVENT

"*" indicates required fields

Basic Information

Name*

First Last

Are you under 18?*

Yes

Age (if under 18)*

Are you one of the following:*

7-12 Grade Student

College Student

Non-Student/Out-of-School

Music Educator

Gender*

Preferred pronouns (if desired)

Please provide your preferred pronouns.

Instrument*

Email*

Primary Phone*

Secondary Phone

Mailing Address

Address*

Street Address City State ZIP Code

County*

Please tell us the county in Ohio in which you reside.

Describe your experience in jazz.

This could include playing in a jazz ensemble, taking lessons, attending a collegiate music program, etc.

Shirt size*

All participants will receive a free Jazz Girls Columbus shirt.

School Information

Grade*

School Name*

School District*

Band / Jazz Band Director*

Band Director email*

Private Instructor*

Private Instructor email*

Parent/Guardian Information

Parent/Guardian Name*

First Last

Required if student is a minor

Parent/Guardian Email*

Parent/Guardian Phone*

Parent/Guardian Address (if different than student address)

Street Address City State ZIP Code

Suggested Donation

The Jazz Academy program is available to everyone at no cost, though we estimate its value at $100. Your participation is invaluable in sustaining these initiatives for the future, and we're sincerely grateful for your support.

Releases and Permissions

Total

Credit Card

Cardholder Name

Card Details

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