Middle Tennessee State University | Middle Tennessee State University

MTSU Jazz Festival Student Registration
(Complete and "Send" at the bottom of the form.)

Personal Information :
Name - Last First Middle Initial
E-mail address

Area Code ( ) Phone

Instrument:
Name of School:

Grade in School:

Are you a member of the Murfreesboro Youth Jazz Orchestra? Yes No

Mailing Address:

City State zip

EMERGENCY CONTACT:

Name:

EMERGENCY PHONE 1: Area Code ( ) Phone

EMERGENCY Phone 2: Area Code ( ) Phone

BAND DIRECTOR'S INFO:

Band Director's name:

Band Director's e-mail:

Do you participate in your school jazz ensemble? YES NO