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APPLICATION FORM
To submit online, complete entire application and press "submit"
OR print form and mail to jazz workshop address at bottom of form

Tuition : $215 for 1 session,
$390 for 2 sessions ($30 discount),
or $535 for 3 sessions ($90 discount)
Register before May 1st and receive $10 discount off the total tutition price
note: All applicants must pay $60 of total tuition fee with submitted registration form


Email address:
Name:
Parents/Guardian:
Instrument:
Years Studied:
Street Address:
City:
State:
Zip:
Telephone:
School:
Age:
T-Shirt Size:	(sm, med, lg, x-lg)
Workshops and space availability (click on to select session)	To Register for multiple sessions choose one and then designate other sessions you wish to enroll in below in the "Additional Comments"
July 16th to 20th, Mon-Fri, 9:30am-12:30pm		July 16th to 20th, Mon-Friday, 2 pm to 5 pm
July 23rd to 27th, Mon-Fri, 9:30am-12:30pm		July 23rd 27th, Mon-Fri, 2pm to 5pm
July 30th to Aug 3rd Mon-Fri, 9:30am-12:30pm		July 30th to Aug 3rd Mon-Fri, 2 pm to 5 pm

How did you hear about the program?

Additional comments: Please Describe your jazz experience:
If mailing, make checks payable to Twin Cities Jazz Workshop Mail to: Twin Cities Jazz Workshop 2452 Garfield Avenue South, #1 Minneapolis MN 55405 Please note space is limited for each session. All sessions will be held at The Blake School 511 Kenwood Parkway, Minneapolis, Minnesota 55403