SMJ - ENDICOTT 2019:
VOCAL / INSTRUMENTAL REGISTRATION

SMJ WORKSHOP - BOSTON NO. SHORE @ ENDICOTT COLLEGE

Question Title

* 1. Please provide your best email, and cell # for TEXT use during our SMJ week.

Name

Email Address

Cell # Number

Question Title

* 2. In case of emergency, please contact:

Name

Phone Number (day and night)

Question Title

* 3. I am a ...

Vocalist

Instrumentalist

Both

Question Title

* 4. I am a ....

Hobbyist

Music Educator

Working Musician

College Student

Question Title

* 5. If you are new to Samba Meets Jazz Workshops, please share a little about your musical background.

Question Title

* 6. I will stay ...

On campus

Off campus

Question Title

* 7. If you are staying on campus, please select accommodation preferences

Question Title

* 8. I will stay on campus and request the following meal plan

Standard Fare

Vegetarian

Vegan

Pescatorian

Question Title

* 9. I will stay on campus and have the following allergies ...

Question Title

* 10. I am a commuter, and have the following allergies and/or dietary restrictions.

Question Title

* 11. I am a full-time working musician in financial need and request consideration for discount ...

Yes

Question Title

* 12. I prefer to pay by:

Check

PayPal (please note, there is a 3% PayPal fee)

Venmo (please note, there is no fee if paid by Debit Card or Bank Account)

Question Title

* 13. I will submit payment as follows:

Full payment by April 15, 2019 ($100 discount)

Deposit ($500 by April 15, 2019 ($50 discount)

Deposit or full payment after April 15, 2019

Question Title

* 14. I heard about Samba Meets Jazz Workshops via

Magazine Ad

Online - Facebook

Online - Other

Someone recommended