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Jazz Camp Registration

Indicates a Required Field
First Name:
Last Name:
Email Address:
Major Instrument:
Other Instruments:
Grade (In June):
Parent/Guardian Name(s):
Parent/Guardian Street Address:
Parent/Guardian City:
Parent/Guardian State:
Parent/Guardian Zip:
Parent/Guardian email:
Director's Name:
Director's Email:
School Name:
School street address:
School city:
School state:
School zip:
Room/Commuting:
Room
Commuting
Gender:
Male
Female
Returning:
Yes
No
Award:
Event:
Shirt size:
S
M
L
XL
XXL
Verification Code:
Questions or comments? Please email us at info@iowalakes.edu or call 712-362-2604 or 800-521-5054.
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