High School Honor Jazz Band participation form for Accepted students

Student information

First name

as you prefer it to appear in the digital concert program.

Last name

Email

Please enter your personal email address, not your school email. School district firewalls will block our communications.

Cell phone

Address

City

State

Zip

Grade

10

11

12

Graduation year

2025

2026

2027

Instrument

Attending as

Commuter (Columbus area resident)

Staying at hotel

Gender

Male

Female

Non-binary

Prefer not to say

Dormitory housing

Select Saturday lunch

Ham

Turkey

Vegetarian

Saturday dinner will be pizza with a variety of toppings offered.

Select Sunday lunch

Tuna salad

Turkey

Vegetarian

Dietary restrictions

Enter 'None' if not applicable.

Medical

Enter 'None' if not applicable.

High School information

School name

Enter the full name of your school. Do not abbreviate.

School street address

Enter street address of your school building, not school district address.

City

School state

Zip

Band director's full name

Band director email

Private teacher information

Private teacher's name

Enter 'None' if you do NOT have a private teacher.

Private teacher email

Teacher's instrument

Parent/Guardian information

Staying at a hotel?

Yes

No

If Yes, please list the parent who is staying in the hotel with you.

First name

Last name

Parent/guardian email

Phone

Phone number where parent/guardian may be reached at any time during the event.

Emergency contact

Contact name

Person to contact in case of an emergency, OTHER THAN the parent/guardian listed above.

Phone

Number where this person may be reached at any time during the event.

THANK YOU

Thank you for completing this High School Honor Jazz Band Accepted Student form. Your submission is not complete until you click Submit.