Register Now for More Information Student Name* First Last Age*Grade (if applicable) Instrument* School (if applicable) Primary Parent/Guardian Name (if applicable) First Last Primary Email* Primary Phone*Secondary Parent/Guardian Name (if applicable) First Last Secondary Email Secondary PhoneCoursesEnsembles Interested in: Jazz Rock, R&B and Funk Classes: Music Theory Composition/Arranging Open Jazz Intensive Series: Next date TBD Additional Comments/RequestPhoto and Video Release* By checking this box, The Westchester Center for Jazz and Contemporary Music has my permission to use my or my child’s photograph publicly to promote the Center. I understand that the images may be used in print publications, online publications, websites, and social media.