Summer Music Camp

JAZZ DESIRES - SUMMER MUSIC CAMP REGISTRATION FORM
August 19th - 20th

*Free Concert 6pm-8pm on Friday, August 19th
*Music Camp 11am-4pm on Saturday, August 20th

Only $20.00 Per Person! LIMITED AVAILABILITY

Address:
1213 South 17th Avenue
Maywood, IL 60153
Ph: 773-392-0948

Student Name

Phone

Age

Level

Beginner

Intermediate

Advance

Choose Your Preferred Instrument

* PIANO CLASS

* PERCUSSION CLASS

* GUITAR CLASS

Emergency Contact (Name and Phone Number)

PAYMENT INSTRUCTIONS/OPTIONS:

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