Junior Appalachian Musicians - Yadkin Arts Council

Registration is now open for JAM Spring 2021 Semester. Classes will take place on Tuesdays (January-June) – to register, please fill out form below – or – call 336-679-2941 – or – email Erika@yadkinarts.org

Student's Name*
First Last
Student's Grade Level*
Student's Experience Level*
Student's First Choice Instrument*
Student's Second Choice Instrument*
Parent's Name*
First Last
Parent's Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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)*
*If you have selected the option to order your student a t-shirt please specify size below and let us know if it is an Adult or Youth size
Additional Notes:*
Please choose an option below:*
- Spring 2021 Tuition Only $37.50
- Spring 2021 Tuition and T-Shirt $47.50
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Name
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