Personal Information

Applicant’s Name (Last, First)

Other Names Used

Parental Information

Parents or Guardians Name (Last, First)

Email Address

Educational Information

Do You Have A Private Instructor? YesNo
If yes who?

School Currently Attending
School Zip Code
What is your primary instrument?
How Many Instruments Do You Play?
What are they?

Do you sing?YesNo
If so, are you interested in the SJW Vocal Jazz Ensemble? YesNo

Musical Experience
Musical Awards
Have You Ever Been In The Summer Jazz Workshop YesNo
If yes, When?

What Do You Expect To Gain From The Workshop?
How Did You Hear About The Summer Jazz Workshop?
Will You Be Able To Spend The Entire 4 Weeks in The SJW? YesNo
If No, please explain:

What Are Your Music Goals?
Have You had Training in Jazz Before?
Can you read music? YesNo

Medical Information

Do You have any medical conditions that the Summer Jazz Workshop Staff should be aware of?
If yes, please explain:

SJW Site

Trinity Episcopal Church Campus 1015 Holman St Houston, TX. 77004

T-Shirt (T-shirts are adult sizes)

SmallMediumLargeX-Large2X-Large

Optional Question

Would you be interested in other playing opportunities after the Summer Jazz Workshop?

Please prove you are human by selecting the heart.