| All fields with an * asterisk and bold, are required unless otherwise indicated. |
Participant Information
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| Title: | |
*Name:
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First |
*Phone:
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(with area code) |
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Last |
Cell Phone:
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(with area code) |
| *Address (1): |
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*Date of Birth: |
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| Address (2): |
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Example (dd/mm/yyyy)
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| *Country: |
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| Email: |
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| *Gender: |
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For Applicants Under 18
Please enter parent or guardian names below: |
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*Primary Instrument:
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*Secondary Instrument:
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| *How many years have you been playing? | |
| *What are your music qualifications? | |
| *In what keys can you play the MAJOR scale? | |
| *In what keys can you play the minor scale? | |
| *List any music you can play from memory? | |
| *Do you know the chord chages to these songs? | |
| *Can you improvise on them? | |
| *Can you read music? | |
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Payment Options
I understand the course fee is TT $1000.00** (Payments or applications received after July 31, 2009 will attract a TT$20.00 late fee.) Applications received after that date will be accepted on a space available basis. Please choose a payment option:
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Check One:
I will mail a check immediately. (See below for instructions.)
I will deposit cash to JATT account. (See below for instructions.)
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Mail Payments To:
Jazz Alliance of Trinidad and Tobago
3 Irish Avenue,
Glencoe.
Please note: Deposit cash only to JATT account at any Republic Bank branch to: Acc. # CHQ – 110011254801. You must retain your receipt in order to be enrolled or you can mail your receipt together with a copy of this application to the above mailing address. If you do not retain your receipt, your transaction will be considered null and void.
Comments / Questions
Please contact us at JATT Office Phone#: 1 (868)632-3061
Note: Please print out a copy of this page for your records before you hit the "Submit" button. If you plan on mailing your payment to us, please include a copy of this page. Applications are not complete until payment is received.
**This fee is non-refundable once the course commences.
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