SoBe Music Institute 2100 Washington Avenue (Carl Fisher Clubhouse) Miami Beach, Florida 331349 - (305) 674-9220 After-Work Program Jazz Studies Adult Registration Form - Fall & Spring 2008/09
Please fill all spaces then press submit at bottom of page or download pdf form for printing. Send your $25 (non-refundable*) registration payment to address below or pay online at www.sobemusic.org. (Registration fee is refundable if there is not enough enrollment for the class to meet - in that case the fee may be refunded or applied to another class or private lessons). Student Information
(*optional) *Ethnic background: White Black Hispanic Native American Asian other *Any disabilities or special attention your may need: (explain) Address: City: State: Zip Code: Email: Phone Numbers: Home: Cellular: Work: (Check main contact number) Enrollment Fall Session 17 Week Session (September 8th – January 17th) Monday & Wednesday 5:30-9:00 (Class Times TBA)
Saturday 10:00AM - 7:00PM(Class Times TBA) Spring Session 17 Week Session (January 26th – May 30th) Monday & Wednesday 5:30-9:00 (Class Times TBA) Saturday 10:00AM - 7:00PM(Class Times TBA)
Jazz Flute beginner intermediate advanced
Jazz Saxophone beginner intermediate advanced
Jazz Guitar beginner intermediate advanced
Jazz Piano beginner intermediate advanced
Jazz Bass beginner intermediate advanced
Jazz Percussion/Drumming beginner intermediate advanced
Jazz Vocals beginner intermediate advanced
Jazz Vocal Ensemble beginner intermediate advanced
Mixed Jazz Ensemble beginner intermediate advanced
In signing this form, I acknowledge that failure to disclose and submit accurate information may result in denial of admission to the institute I certify that all information provided is complete and true. Signature: Date: Printed Name: