Student Name *

First Name

Last Name

Student Phone *

Can be parent's cell phone if desired.

(###)

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Available Doubles and Additional Instruments *

Select any and all doubles you are able to play (serious claims only).

No doubles.

Piano

Vibes

Auxiliary Percussion

Soprano Saxophone

Alto Saxophone

Tenor Saxophone

Bari Saxophone

Bass Clarinet

Flute

Clarinet

School's Jazz Director Name *

First Name

Last Name

School's Jazz Director Phone *

(###)

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Checkbox Attest #1 *

By checking the box below you attest the following statement is true.

By submitting and continuing with this application I attest that I am in good standing with my school’s music program, and have spoken or will speak with my school’s jazz band director (if applicable), prior to the submission deadline, about my desire to participate in this ensemble.

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

(###)

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Checkbox Attest #2 *

By checking the box below you attest the following statement is true.

By submitting and continuing with this application I attest that I have my parent/guardian's permission to audition and participate in the ensemble if selected.

Checkbox Attest #3 *

By checking the box below you attest the following statement is true.

I understand that by submitting this application I agree to commit to the proposed schedule and preparation fitting of an honor ensemble experience.