Application Form – NYJA® Jazz Intensives

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New York Jazz Academy®

Email: [email protected]
Tel: (718) 426-0633

Locations

Bryant Park Location:
Michiko Rehearsal Studios, 15 W. 39 St., 7th Floor, New York, NY 10018 (between 5th and 6th Aves.)


NEW YORK JAZZ ACADEMY® – LONG ISLAND
@ iSchool Music and Art

14 Cold Spring Road, Syosset, NY 11791

Phone: (718) 426-0633

Email: [email protected]

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    Thank you for your interest in the New York Jazz Academy® Jazz Intensives program. Please take a moment to fill out this application form so we can learn more about you and your musical pursuits. Someone will contact you shortly (typical response time is within 1-5 business days). If you have trouble submitting the form, or if you have additional questions, please email us. Thanks again for your interest in New York Jazz Academy®.

    First Name (of student) *

    Last Name (of student) *

    Email Address *

    Phone *

    Alt. Phone (optional)

    Mailing Address


    Street Address

    Address Line 2

    City

    State/Province/Region

    Postal / Zip Code

    Country

    Birthdate (of student) example: 05/15/1998 for May 15, 1998

    Parent/Guardian First Name (if student is under 18)

    Parent/Guardian Last Name (if student is under 18)

    Parent/Guardian Email Address (if student is under 18)

    I am interested in programs for: *
    Adults (ages 18 + )Teens and Youth (Ages 11-19)


    Instrument

    Instrument (if you selected "Other")

    Skill level (approx.) *
    Total BegBegBeg-IntIntInt-AdvAdvPro


    I am interested in (Check all that apply)
    Summer Jazz IntensivesWinter Jazz IntensivesSpring Jazz IntensivesWeekend Jazz IntensivesCustom Jazz IntensivesOther programs


    I am interested in *
    Online and in-person optionsIn-person optionsOnline options


    I am interested in attending the following number of weeks (Choose one) *
    1 week2 weeks3 weeks4 weeks5 weeks6 weeksMore than 6 weeks


    I may have the flexibility to attend the following dates (Check any for which you are available)
    December 27-31April 14-18June 30-July 4July 7-11July 14-18July 21-25July 28-August 1August 4-8August 11-15August 18-22Aug 25-29


    Link to sound samples (Website, YouTube, etc.)


    Comments (Please share with us a bit about your musical background and current goals)



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