Memphis Jazz Workshop Summer 2023 Registration
Please complete the following form in order to register for the Summer 2023 Memphis Jazz Workshop. Then follow the payment link below.

The MJW Workshop Dates are as followed:
June 12th- June 30, 2023
Monday- Friday In-Person Instruction and Masterclass w/ Guest Artists 
from 8:30am-2pm, Location: 5770 Shelby Oaks Dr Memphis, TN 38134

Classes Offered
Beginning Improv, Piano, Harmony, Masterclasses and Combo
Intermediate Improv, Piano, Harmony, Masterclasses and Combo
Advanced Improv, Piano, Harmony, Masterclasses and Combo

To pay your fall workshop tuition, please use the link below.
Tuition is $600 or 3 payments of $200 or $40 per day

Ready to pay? CLICK PAY FOR SUMMER 2023

MJW offers financial aid scholarships to any family with need. We believe that cost should never be a barrier for those with talent and desire.
Email *
Student First and Last Name *
Student Email *
Student Phone Number *
Race/Ethnicity *
Primary Instrument *
Required
COVID 19 Acknowledgement: Must be electronically signed by parent if student is under the age of 18. The Memphis Jazz Workshop will do its best to honor and implement the proposed schedule for the Summer 2022 semester.  Shelby County Health Department directives will be followed and the schedule may need to be modified.  Please check the box to affirm. I acknowledge that the Memphis Jazz Workshop may need to adjust the schedule for dates/times to ensure the safety of my student. *
Required
Parent 1 First and Last Name *
Parent 1 Phone Number *
Parent 1 Email *
Parent 2 First and Last Name
Parent 2 Phone Number
Parent 2 Email
Street Address *
Zip Code *
City *
How many years have you played your primary instrument? *
Ownership of Instrument *
Piano Skills (Select one that best describes your current skill level.
Clear selection
Do you take lessons, if so how many years of  private lessons?) *
Scales I can play on piano. Check all that apply! *
Required
Clefs I can Read (Check all that apply) *
Required
School Name *
Grade Level *
How did you hear about us?
Clear selection
Student T-Shirt Size *
Electronic Signature and Date
Please type your name.  Your electronic signature is being recorded and must be completed by an adult over the age of 18.  After typing your name, enter today's date.
Parent/ Legal Guardian Consent *
Required
Signature (Type Full Name) Parent or student 18+ *
Date (Select today's date) *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Lee Jazz Omega. Report Abuse
Google Forms