Jazz Program 2024-2025 | One City VanderCook, Chicago

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One City Jazz Program Registration Form
2024-2025 school year

Parent/Guardian Information

Parent/Guardian's First Name

Parent/Guardian Email

Parent/Guardian Last Name

Parent/Guardian Phone Number

Mailing Address

City

State

Postal / Zip code

I give permission for images and recordings of my child to be used for promotional and fund raising purposes for the One City program, both now and in the future.

Your Signature

Student Information

Student's First Name

Student's Last Name

Student's School

Student's level

Student's Grade in 2024-25 School Year

Student's T-Shirt Size

Emergency Information

Emergency Contact Name(s)

Emergency Contact Number(s)

Please list any medical conditions we should know about your child:

Form Submitted. Thank you for submitting!

Contact info

3140 South Federal Street Chicago IL 60616-3731

312-225-6288

lschuman@vandercook.edu

VanderCook College of Music

Our Mission

One City offers free musical instruments and instruction to K-8 students in underserved communities to improve educational access, preserve Bronzeville musical heritage, and provide teaching experience to music education students.

© 2022 VanderCook College of Music. All Rights Reserved.

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