Mail full payment or $100 deposit to: Jazz Camp West, 2501 Harrison St., Oakland, CA., 94612
Name
Address
City
State
Zip
Age
M/F
Status
Phone
Phone
E-mail
Major Area(s) of Interest (Particular instrument, vocals or dance)
Level/years of experience
How did you hear about camp?
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DONATIONS FOR LOW-INCOME STUDENTS
A critical part of RCI's mission is to promote diversity by making this experience available to everyone, regardless of their financial situation.
Please consider donating to Jazz Camp’s scholarship fund to make this experience available for low-income students.
I would like to donate $to Jazz Camp West
to make it possible for low-income students to attend.
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ACCOMMODATIONS
Housing
Cabin Preference
1st choice
Cabin Preference
2nd choice
Are you a vegetarian?
Sarah Vaughan Cabins
$1060
Thelonious Monk Cabins
$985
Camping You provide your own gear
$985
Commuter
$880
NOTE:
If paying by check, cash or money order, immediately discount $30 from the above listed fees! $50 Discount if Fee paid on or before June 1st.
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Note: You are eligible for two discounts. When paying by check, cash or money order, you are entitled to a $30 discount. Balances paid by June 1st will receive a further $50 discount.
Upon receipt of your payment we will secure your reservation and you will receive further information.
Only one half the registration fee will be returned if you cancel after June 1.
No refunds for "no shows".
PAYMENT
Charge
Check/Money Order
VISA
MASTERCARD
Card Number
Exp. Date
Three Digit Code (on back of card)
Charge Full Amount
Charge $100 deposit only
Mail full payment or $100 deposit to: JazzCamp West
Send check with this form to:
Jazz Camp West, 2501 Harrison St., Oakland, CA., 94612
If paying by check, cash or money order, immediately discount $30 from the above listed fees!