Junior Jazz Academy How to Participate

Application Deadline

June 19, 2020

(Late applications will be considered if space is available)

For more information or questions
Call: 212-258-9947
Email: jja@jazz.org

Part 1
To be completed by the parent

student first name

student last name

date of birth

current grade (2019-20)

grade (2020-21)


parent(s) or guardian(s) first name(s)

parent(s) or guardian(s) last name(s)

home phone number

Work phone number

parent cell (1)

parent cell (2)

parent email (1)

parent email (2)

mailing address:



zip code

name of school

name of music program (if applicable)

music teacher, band director, or guidance counselor's name

music teacher, band director, or guidance counselor's email

Part 2
I, the parent or guardian, certify to the best of my ability that the information in this application is correct, and electronically sign my name below:

I verify that I am 13 years of age or older