Please indicate which camp you would like to attend:

Camp Choice *

Camp 1: June 15-24, 2025
Camp 2: June 22-28, 2025
Either (I can attend either camp)

Acceptance

Scholarship

Contact Info

First Name *

Last Name *

Date of Birth *

Address 1 *

Address 2

City *

State *

Zip Code *

Country *

Phone *

Alternate Phone

YOU MUST ENTER A VALID EMAIL ADDRESS IN THE FIELD BELOW OR THE FORM WILL NOT SUBMIT.

Email *

You must enter a valid email address to submit the form.

Any Medical Issues?

Please describe any medical issues of which we should be aware. (Leave blank if there are none.)

Give us your emergency contact information.

Emergency Contact Name *

Emergency Contact Relationship

Emergency Contact Phone *

Chaperone Information

Scholarship students under the age of 18 must be accompanied by a chaperone. Multiple students can have the same chaperone. Contact the jazz camp for more information.

Chaperone Name

Relationship to Student

Chaperone Phone

Chaparone Email

Tell us about your travel plans.

We realize some of the following information may change as camp approaches. You may decide to come a few days earlier or stay a few days later. Just let us know what you think you will do at this time.

Please remember ALL room changes, additions, and cancellations must go through the Jazz Camp. Call or email us about any changes.

Arrival Date

Jazz Camp tuition covers housing beginning on Sunday, June 16, 2024. Early check-ins will be invoiced at our discounted room rate.

Select your Check-in Date

Departure Date

Your Jazz Camp scholarship covers housing through the morning of Saturday, June 22, 2024. Those who would like to stay extra days will be invoiced for any additional nights.

Select your Check-out Date

Number of People In Room *

Hotel will charge extra for 3 or more people in the same room.

Hotel Rooms

The Courtyard View is quieter at night, but the street view is sometimes more interesting! Both are available on a first come, first serve basis.

Room Preference

Room Type

Lagniappe Day

"Lagniappe" is Louisiana French, from Spanish la ñapa. It means "to give a little extra." Each year we have one final jam session on the Saturday at the end of the week where campers can have one final hurrah before they head home. The session is from 11AM to 3PM (times approximate venue to be announced).

REMINDER: Your tuition covers the hotel through the morning of 6/27, but you can opt to stay another day or two if you would like (depending on hotel availability) and we will invoice you for the extra days.

Will you be joining us for Lagniappe Day?

More Information

What do you hope to accomplish at Jazz Camp?

Additional Comments

Submit

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