Camp Application – Teagarden Jazz Camp

Camper Information

Camper Name(Required)

First Last

Week camper would like to attend(Required)

Week 1

Week 2

Date of Birth(Required)

Age(Required)

Camper Phone(Required)

Camper Email(Required)

T-Shirt Size(Required)

Parent Guardian 1

Name(Required)

First Last

Relationship to Camper(Required)

Email(Required)

Preferred Phone Number(Required)

Alternate Phone Number(Required)

Parent Guardian 2

Name(Required)

First Last

Relationship to Camper(Required)

Email(Required)

Preferred Phone Number(Required)

Alternate Phone Number(Required)

Emergency Contact

Name(Required)

First Last

Relationship to Camper(Required)

Preferred Phone Number(Required)

Alternate Phone Number(Required)

Instruments Played

Please list your main instrument and then list other instrument(s) you play in descending order of preference. Will will try to place you on your first instrument, but may ask you to attend on one of your other instruments, if necessary. You must play the instrument on which you are accepted. NOTE FOR SAXOPHONE PLAYERS: please specify which type of Saxophone you play (alto, tenor, or bari).

Instruments(Required)

Financial Assistance

Do you require financial assistance?(Required)

Yes

Do you want to be considered for a scholarship?(Required)

Yes

Do you have a financial sponsor?(Required)

Yes

List Name / Organization of group sponsoring you.

Application Fee

There is a $25 application fee to apply to the Teagarden Jazz Camp. You will be sent to the payment page after you submit the form. NOTE: Your application fee cannot be processed until the fee is paid.