BWS Youth Jazz Registration | Bremerton Symphony

Bremerton WestSound Symphony

Youth Jazz

Youth Ages 10-18

Sundays 5-7 pm
September 24, 2023 - June 9, 2024

North Point Church

Click for full rehearsal schedule

Click here to fill out scholarship form or call or email the symphony office to request scholarship information.

1779 NE Hostmark St | Poulsbo WA

Student Information

Student First Name

Student Last Name

Preferred name or Nickname

Preferred pronouns

Student Phone

Student Email

Student Age

Student Birthdate

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone

Parent/Guardian Email

Mailing Address

City

Postal / Zip code

Home Address (if different)

I give permission for the director and jazz assistant to contact parent or student directly via the contract information above

Instrument Information

Primary instrument

# Years played

Teacher

Other instruments played

School Information

School name

City

Grade in fall 2023

Home School? (yes/no)

Emergency Information

Emergency Contact Name

Emergency Contact Phone

Relationship to Student

Any pertinent medical information or severe allergies? (please list here)

*MEDICAL RELEASE: I (We) the parent(s)/guardian(s) of the above named minor, give my (our) permission for my (our) child to participate in Bremerton WestSound Symphony Youth Jazz Program and assume all risks and hazards incidental thereto, including those arising in the course of transportation to and from Youth Jazz functions. I (We) hereby give consent and authorize proper authorities of Bremerton WestSound Symphony to administer first aid, authorize necessary emergency treatment at a nearby emergency medical facility, and/or authorize a medical doctor to examine or treat the child for illness or injury or both while he/she is in attendance at Youth Jazz or on related activities. By selecting this box you are agreeing to the terms above.

Media Release

Bremerton WestSound Symphony may take photographs, videos, or recordings of Youth Jazz, rehearsals and performances to be used on our website and/or social media accounts, as well as printed materials such as brochures and funding requests. While we will not tag or identify any student, your child's image may be used in these promotional materials in this and future years. No photographs, videos, or recordings will be sold or used for commercial purposes.

I give my permission for the use of any Youth Jazz related photographs, videos, or audio recordings of my child for promotional and social media purposes. By selecting this box you are agreeing to the terms above.

Registration & Tuition

Tuition Options:

Full Year - $350 ($50 discount)

Single Semester (Sep- Feb) - $200

Students registering after September 2023 should contact us at info@bremertonsymphony.org

If you intend to pay via check(s) or cash on or before the first rehearsal, email us at info@bremertonsymphony.org

Download the school participation form, complete it, and return by the first day or rehearsal. CLICK HERE TO DOWNLOAD

Please click registration button one time only.

Questions?
We can help!

Send us an Email!

Leave a Message!

Alan Futterman
Music Director

Bremerton WestSound Symphony

Youth Jazz

Youth Ages 10-18

Sundays 5-7 pm
September 24, 2023 - June 9, 2024

North Point Church

Click for full rehearsal schedule

1779 NE Hostmark St | Poulsbo WA

Student Information

Parent/Guardian Information

Instrument Information

School Information

Emergency Information

Media Release

Registration & Tuition

If you intend to pay via check(s) or cash on or before the first rehearsal, email us at info@bremertonsymphony.org

Questions?
We can help!

Mailing Address

Administrative
Office Hours

Alan Futterman Music Director

Bremerton WestSound Symphony

Youth Jazz

Youth Ages 10-18

Sundays 5-7 pm September 24, 2023 - June 9, 2024

North Point Church

Click for full rehearsal schedule

1779 NE Hostmark St | Poulsbo WA

Student Information

Parent/Guardian Information

Instrument Information

School Information

Emergency Information

Media Release

Registration & Tuition

If you intend to pay via check(s) or cash on or before the first rehearsal, email us at info@bremertonsymphony.org

Questions? We can help!

Mailing Address

Administrative Office Hours

Alan Futterman
Music Director

Sundays 5-7 pm
September 24, 2023 - June 9, 2024

Questions?
We can help!

Administrative
Office Hours