Registration Form
Fall Semester
September 9th, 2013 - January 6th, 2014

* Students must register no later than September 1st, 2013

Name _____________________________________________________

Street Address______________________________________________

City, State, Zip______________________________________________

Instrument_________________________________________________

Email Address_______________________________________________

Phone#____________________________________________________

Parent Signature_____________________________________________

* Students must bring their own portable music stand to all rehearsal or performance events

Once accepted into the Do It Up Jazz Ensemble please print out this form, complete it and
mail the form with a check for $65 payable to:

C.M.M.A
1308 Powell Avenue
N. Merrick, NY 11566

You can pay the $65 via Paypal instead of a check. Click below: