To register for the 2007 OSPAC Jazz and World Music Workshop fill out the form below.  Please send a check made to OSPAC for $25.00 (registration fee)

Mail Check to:

OSPAC
c/o Kate Baker
5 Yale Terrace
West Orange, NJ 07052

Student's Name:             

Parent/Guardian's Name:

Address:                        

City:                               

State:                             

ZIP Code:                      

Telephone:                      --

Fax:                                --

E-Mail:                           

Student's Age:             

Did the student attend the OSPAC Jazz and World Music Workshop last year? Yes No

Student Gender: Male Female

 

Student's School:         

Student Grade Level:   

Music Teacher Name: 

Music Teacher Phone:  --

Student's Primary Instrument:

Years Played:              

                        Secondary Instrument (optional):

                        Jazz Skill Level: Beginner Intermediate Expert

Please write include a description of your playing and listening experience and what you hope to learn and contribute to our Jazz Festival

Scholarships may be available on a need basis. A copy of pages 1 & 2 of your 2006 Tax Form 1040 are required for the application.

Are you interested in a need-based scholarship? Yes No

 

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