a program of Rhythmic Concepts Inc.

Enroll Today!

ABOUT YOU
First Name *
Last Name
 *
Email
 *
Address
 *
City
 *
State
 *
Zip Code
 *
Age
 *
M/F
 *
Status
 *
Phone
 *
Phone
Major Area(s) of Interest
(Particular instrument, vocals or dance)
Level/years of experience
How did you hear about camp?

* = Required

ACCOMMODATIONS
Housing *
Cabin Preference
1st choice
2nd choice
Are you a vegetarian?

FEES
Sarah Vaughan Cabins $1130
Thelonious Monk Cabins $1045
Camping
(You provide your own gear)		 $1015
Commuter $945

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".

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 make it possible for low-income students to attend Jazz Camp West.

PAY BY MAIL

Send check (full payment or $100 deposit) to:
Jazz Camp WEST - 2501 Harrison St., Oakland, CA, 94612

PAY BY CREDIT CARD

We accept Visa and Mastercard VISA   MASTERCARD
Card Number (16 digits; no dashes)
Exp. Date
CVV
(3 digit code on back of card)
Amount to Charge Charge Full Amount
  Charge $100 deposit only (+donation if applicable)
Pay My Balance
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