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COLUMBUS YOUTH JAZZ SUMMER WORKSHOP
SUMMER WORKSHOP REGISTRATION
"
*
" indicates required fields
Step
1
of
4
25%
CYJ Summer Workshops
Week 1 (June 8–12, 2026)
Quantity
Price:
$150.00
Quantity
Week 2 (June 22–26, 2026)
Quantity
Price:
$150.00
Quantity
Week 3 (July 13–17, 2026)
Quantity
Price:
$150.00
Quantity
Personal Information
Student Name
*
First
Last
Primary Instrument
*
Please Choose One...
Saxophone
Trumpet
Trombone
Bass
Guitar
Drums
Piano
Other
Notes
Ex: What saxophone do you play? Do you play any other instruments? Do you play upright and/or electric bass?
Email
*
Primary Phone
*
Ex. (123) 456 - 7890
Secondary Phone
Ex. (123) 456 - 7890
Mailing Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
County
Personal Information
The demographics collected below are used only for documentation required by grant applications that support Columbus Jazz. Your responses to this information will not affect your eligibility for participation in our programs.
Age
*
Ethnicity
*
Gender
*
Please Choose One:
Female
Male
Non-binary
Other
Prefer Not to Say
Preferred Pronouns
Does your child have any health concerns we should know about (allergies, medications needed, etc.)?
*
Yes
No
Please explain
Jazz Experience
Your responses to this section of questions will be used to place you in a jazz combo with students of similar experience levels. If you have participated in one of our programs in the past, We have combos for every level—beginning to advanced!
How many years have you played your instrument?
*
Describe your experience with jazz music and improvising..
*
How comfortable are you with jazz improvisation?
*
(1 = no experience, 5 = very proficient)
1
2
3
4
5
How comfortable are you with reading standard music notation?
*
(1 = no experience, 5 = very proficient)
1
2
3
4
5
How comfortable are you with reading lead sheets and chord symbols?
*
(1 = no experience, 5 = very proficient)
1
2
3
4
5
Placement Audition Video Upload (Optional)
Students are encouraged to upload a recording of them playing one jazz tune of their choice to help us place them in an ensemble. Improvisation is encouraged but not required. You can paste the link to your file (Google Drive, YouTube, Dropbox etc.) in this text field. NOTE: Please make sure sharing permissions are enabled for youthjazz@columbusjazz.org. Placement auditions can also be sent to youthjazz@columbusjazz.org after submitting this form.
School Information
Most recent grade completed (25–26 school year)
*
School Name
*
School District
*
School Music Director
*
School Music Director Email
*
Are you taking private lessons on your instrument?
*
Yes
No
I have in the past, but not right now
Private Instructor
*
Private Instructor Email
*
Parent/Guardian Information
Does your student have reliable transportation?
*
Saying yes or no does NOT influence your student's placement or participation in our programming. This just allows us to assist in finding carpooling if needed!
Yes - myself or a family member/guardian will be transporting them
Yes - they will be driving themselves
No - I would like you to assist in coordinating a carpool
I'm not sure yet
Are you interested in being added to our carpool list?
If a student in your area needs a ride, we may contact you to coordinate carpooling to and/or from the Jazz Academy.
Yes
No
Unsure
Parent/Guardian Name (Primary Contact)
*
First
Last
Parent/Guardian Email
*
Parent/Guardian Phone
*
Is your parent/guardian address different than the address you listed above?
Yes
No
Parent/Guardian Address (if different than student address)
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
What other Columbus Jazz programs and/or events have you participated in? Please check all that apply.
Columbus Youth Jazz Summer Workshop
Columbus Youth Jazz Ensemble (Big Bands, Combos, Vocal Lab)
Girls Programming - CYJ Girls Ensemble (Project) or Jazz Girls Day
Other Program at the Jazz Academy (Columbus Community Jazz Band, Adult Vocal Workshop, Jazz Academy Jam Session)
Other Program outside of the Jazz Academy (Jam Session at Natalie's, PBJ & Jazz)
In-school Program (Jumpin' JaKs, All That Jazz, Jazz Academy on Tour assembly)
This is my first experience with a Jazz Academy program or event.
What other Columbus Jazz events have you attended or participated in? Please check all that apply.
Columbus Jazz Orchestra at the Southern Theatre
Columbus Jazz Orchestra Summer Performance (Hinson, Bicentennial Park, etc.)
Columbus Jazz Presents at the Lincoln Theatre
This is my first experience with Columbus Jazz programing
How did you hear about this program? Please check all that apply.
I am a Past Participant
Band Director or Private Instructor
Friend/Word of Mouth
JAG Website
JAG Playbill
E-blast from JAG
Instagram
Facebook
Other
Releases and Permissions
Photo Release
*
I understand that photos and videos may be taken at Columbus Jazz events for promotional and documentation purposes, and by signing this registration form, I furnish permission for the registrant's likeness to be used for the above-mentioned purpose.
Contribution
I wish to support Columbus Jazz with an additional tax-deductible contribution.
Contribution Amount $
Payment Method
*
Credit/Debit
Check
Cash
I have received a scholarship for this program.
Total
Total
Credit Card
Cardholder Name
Card Details