Fort Pierce Jazz & Blues Society

Jazz Camp

CAMP FACULTY

2024 Camp Registration

Applicant Information

Basic - Advanced - Pro required

Last Name required

First Name required

Email Address required

Address required

City required

State required

Zip Code required

School Affiliation required

Instrument required

Parent Information

Parent's Name required

Phone Number required

Email Address required

Payment Information

Camp Week Selection required

Billing First Name

Billing Last Name

Billing Address Line 1

Billing Address Line 2

Billing City

Billing State

Billing Zip

Card Type required Visa

Card Number

Exp Month

Exp Year

Card Verification #

Visa or MasterCard: the three-digit card verification number can be found on the back of the card.

American Express: the four-digit card verification number can be found on the front of the card.

Verification required

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Jazz Camp

CAMP FACULTY

2024 Camp Registration

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