Fine Arts Academy - Jazz Ensemble

Name of Student Name of Student First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
The student is a/an:

The student is a/an: Adult High School Student (Grades 9-12)
Name of Parent/Guardian (if under 18) Name of Parent/Guardian (if under 18) First Last
Age of Student (if under 18)
What instrument(s) are you interested in and able to play in the Jazz Ensemble?

What instrument(s) are you interested in and able to play in the Jazz Ensemble? Alto Saxophone Tenor Saxophone Bari Saxophone Trumpet Trombone Guitar Piano Bass Drum Set Auxiliary Percussion
For each instrument checked above, please note how many years you have been playing it for: