Junior Appalachian Musicians - Yadkin Arts Council

6036

Registration is now OPEN for JAM Spring 2023 Semester. For questions please call 336-679-2941 – or – email info@yadkinarts.org

Student's Name*
First Last
Student's Grade Level*
Student's Experience Level*
Student's First Choice Instrument*
Parent's Name*
First Last
Parent's Name
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Email*
Phone*
Medical Condition(s) Of Child (If Any):
Emergency Contact Information (Please include name and phone number)*
Are you able provide your own instrument or will you require one on loan from the Yadkin Arts Counci?
Any dates you know your child will not attend class:
Who is authorized to pick up student? (Please include name & phone number)*
Additional Notes:
Please choose an option below:*
- Spring 2023 Tuition -$75.00
Total
$0.00
Credit Card

Card Details

Cardholder Name
Consent*
I agree to the media release policy.
By checking this box I do hereby consent and agree that the Yadkinville Junior Appalachian Musicians (JAM) program of has permission to take photographs and/or record video and/or audio of my child or me and use these for JAM development, educational, promotional and/or marketing materials. I further consent that my name and identity may be revealed therein or by descriptive text or commentary.

I do hereby give the JAM program the right to exhibit any such works publicly or privately, including posting on the Yadkin Arts Council website and social media. I understand that names of students will not be used on this website. I waive any rights, claims or interests I may have to control the use of photographs, video, or audio and agree that any uses described herein may be made without compensation or additional consideration to me.
Confirmation*
Please check this box after reading the statement below:
You should receive confirmation that your registration has gone through. If you do not receive a receipt to the email address that you provide in this form, please reach out to info@yadkinarts.org to confirm that you have been added to the class.
Phone
This field is for validation purposes and should be left unchanged.