JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2022 JAM Series Interest Form
Interested in participating in the PBC Young Musicians JAM Series? Let us know here.
For more information about the JAM Series, including a Frequently Asked Questions (FAQ) list, visit
https://pbcharrisburg.org/jam-series
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Musician's Name
*
Your answer
Email Address
*
We just need some way to contact you with updates and reminders about the JAM Series. This can be the student's email address or a parent's.
Your answer
Parent Phone Number
*
What number should we call in the event of an emergency?
Your answer
School Grade
*
What grade will you be entering in school this Fall?
Choose
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
ADULT LEADER
Proficient Instrument(s)
*
What instruments (including your "Voice") are you interested in using for the JAM Series?
Voice
Cello
Drums
Guitar, Acoustic
Guitar, Electric
Guitar, Bass
Keyboard Pads
Mandolin
Piano
Ukelele
Violin
Other:
Required
Attendance
*
Please let us know which dates you expect to be able to attend.
Yes
No
July 3, 6:30-8PM
July 17, 6:30-8PM
July 31, 6:30-8PM
August 14, 6:30-8PM
Yes
No
July 3, 6:30-8PM
July 17, 6:30-8PM
July 31, 6:30-8PM
August 14, 6:30-8PM
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms