Contact Info

First Name *

Last Name *

Badge Name

Enter the name you would like on your badge, if different from above.

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.

Please upload a picture of yourself. It is helpful if you can provide a head shot. Please make sure the file is no larger than 4MB.

Choose File (4MB or smaller)...no file selected

Your file MUST be less than 4MB in size.

Vaccination Status

Are you fully vaccinated for COVID-19? *

Give us your emergency contact information.

Emergency Contact Name *

Emergency Contact Relationship

Emergency Contact Phone *

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.

Airplane
Driving (Car)
Train
I am a local

Arrival Date

Jazz Camp tuition covers housing beginning on Sunday, June 19, 2022 Early check-ins will be invoiced at our discounted room rate.

Select your Check-in Date

Departure Date

Jazz Camp tuition covers housing through the morning of Saturday, June 25, 2022. 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.

Travel Companion Name as you want it to appear on their badge

Meals

Breakfast and lunch are included with the tuition for registered campers. If you have a traveling companion who would like to join us, the cost is $300 for the week, or $26 for breakfast and $34 for lunch each day.

Does your companion have any medical issues of which we should be aware? *

Will your companion require any assistance while you are in class? *

Please tell us more about your companion's needs:

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 6/25, 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?

How did you hear about us?

Additional Comments

Camp Contact List

We provide everyone with a list of contact and camp related information for all students and staff. Please indicate if we can share your information in our camp directory.

Yes, Share my Email Address
No, Do Not Share My Info

Before You Click Submit…

Your application is NOT complete until we receive your $100 deposit towards your tuition. The deposit is non-refundable once your application has been accepted.

You will be taken to the payment page after your application has been successfully submitted.

See you at the next camp!