SAJE Registration

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SAJE Registration - 2019

Are you a returning member?

yes

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Student's First Name *

Student's Last Name *

Student's Gender:

Male

Female

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Parent's First Name *

Parent's Last Name *

Parent's Phone number *

Parent's Email address *

Student's Email address

Student's home phone number *

Mailing address - Street address, City, State, Zip *

Student's Grade in the 2019-2020 year *

Student's School *

Student's instrument(s) *

Which Group would you like to register (check all that apply) If you are auditioning for the All-Star group, please register for that and another group.

MS Group: Wednesday 4:00 Northwood Middle School

MS Group: Thursday 5:00pm SFCC

1st year HS group: Thursday 6:00pm SFCC

2nd year HS group: Wednesday 6:00pm SFCC

All-Star Group: Tuesday 4:30pm SFCC (AUDITION ONLY)

T-Shirt Size (Adult Sizes) *

Small

Med

Large

X-Large

Other:

Tuition Preference

Plan A: Entire Year Payment at a 10% discounted rate, $351, plus $15 for performance shirt, totaling $366. You will be invoiced November 5th and payment is due November 19th. If the student withdraws during the year, you must email to notify the Administrator; there will be a cancellation fee of $25 and a prorated refund. (if your student still has their black SAJE t-shirt from previous years, $15 fee does not apply)

Plan B: 1st month payment of $75, to include cost of performance shirt and monthly payments of $60 through the Ensemble’s season, November through April, and $30 for the month of May, invoiced at the end of each month for the following month. (if your student still has their black SAJE t-shirt from previous years, $15 fee does not apply)

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Emergency Information

Health concerns, allergies or disabilities of child/ward:

Emergency Contact Name: *

Emergency Contact Phone Number: *

Relationship to student:

Health Insurance Company and Policy#

Terms and Contitions

EXPECTATIONS: Regular attendance and focused participation in the weekly lessons is the most important aspect of the SAJE experience. Absences must be reported to the SAJE Director or Administrator prior to rehearsal.

In order to be a part of the Spokane All-City Jazz Ensembles, the student agrees to model the following behaviors both in the All-City Jazz Ensembles and his/her school jazz program:

• Willingness to work with the instructor and other students and have a positive attitude
• Active and focused participation in the group experience
• Prepared: All students will come to lessons prepared to play – with your instrument and everything you need for full participation in the lesson.
• On Time: Any student who is 10 minutes late for a lesson will be marked absent for that lesson.
• Attendance at all lessons and concerts is critical to the success of the individual student as well as the other students. If a student misses two lessons, the student will not be allowed to perform in the next concert.
PERMISSION AND RELEASE: I, the parent or guardian of the above-named child/ward, give my permission for his/her participation in all activities, lessons and performances of the Spokane All-City Jazz Ensembles. I hereby release and discharge the Spokane All-City Jazz Ensembles, its agents, directors, and volunteers who participate in or conduct activities on behalf of Spokane All-City Jazz Ensembles from all claims, demands or actions which the parent or guardian’s heirs, executors, administrators or assigns may have, against the Spokane All-City Jazz Ensembles, its successors or assigns, for all personal injuries, known or unknown, to my child/ward and injuries to property, real or personal, caused by or arising directly or indirectly out of any activities conducted by Spokane All-City Jazz Ensembles, including, but not limited to, scheduled activities, lessons and performances.

PUBLICITY WAIVER: I give permission for the Spokane All-City Jazz Ensembles to use the likeness of my child in published format, including, but not limited to: Internet, newspaper, magazine, printed or recorded materials, and television.

EMERGENCY AUTHORIZATION: If neither parent nor the guardian of a student can be reached, I hereby authorize the Spokane All-City Jazz Ensembles or its agents or volunteers to take my child/ward to the nearest available physician or facility for medical treatment in the event of any emergency. I authorize any licensed physician or medical facility to treat my child or ward.
If your child has a life-threatening condition (allergy, asthma, diabetes, etc), please contact us with more detailed health information so in the event of emergency we can act appropriately.

I, the parent or guardian, have read this registration and release and understand all of its terms, and I execute it voluntarily and with full knowledge of its significance. *

I agree

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Name of person agreeing: *

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