Essentially Ellington Teacher Workshop Registration Form

Essentially Ellington Down Under 2022
Teacher Workshop Registration Form

Please complete all questions and click the "Submit" button at the bottom of the page to register for the Essentially Ellington Teacher Workshop 2022. Once submitted, JMI will contact you directly to confirm your registration and provide more details for the workshop.

How did you hear about this workshop?*
Social MediaSchoolE-MailWord of MouthOther

Workshop City*
—Please choose an option—SydneyBrisbanePerthAdelaideMelbourne

First Name*

Last Name*

Preferred name

Your Email*

Alternative Email (if applicable)

Mobile*

Alternative phone number (if applicable)

What school/s do you teach at?*

Address details for registration invoice*

Do you currently direct a Jazz Band?*
YesNo

Are you a currently member of Essentially Ellington*
YesNo

Do you currently access and use charts from the Essentially Ellington library*
YesNo

What kind of things are you looking to learn and take out of this workshop?*

Would you like to join our mailing list? Please choose the categories that you wish to receive more information about
JMI Live & GigsJMI Courses & ClassesEssentially Ellington

Declaration*

I declare that the information on this form is, to the best of my knowledge, true in every respect.

I accept that by submitting this form I agree to the $175 registration fee for this workshop. (JMI will send you a confirmation of your registration within 2 working days. An invoice will be sent to you for payment of the entry fees).

I declare that by completing this form I agree to pay the registration fees for the Essentially Ellington Teacher Workshop. (JMI will send you a confirmation of your registration within 2 working days. An invoice will be sent to you payable by 30 June 2022)

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