- Please complete all questions and click the "Submit" button at the bottom of the page to register for JMI's Youth Program. Once submitted, JMI will contact you directly to confirm your registration.
- By submitting this form, you are agreeing to pay the $440 registration fee.
- Once you submit this form, JMI will send you an invoice for the registration fee that is payable prior to the commencement of term.
How did you hear about JMI?*
Social MediaSchool/teacherGoogle searchWord of MouthOnline AdPrint AdFlyer/BrochureOther
Please select the term you are registering for*
Term 1, 2022 - 5th February - 26th MarchTerm 2, 2022 - 30th April - 18th JuneTerm 3, 2022 - 23rd July - 10th SeptemberTerm 4, 2022 - 15th October - 3rd December
Student's First Name*
Student's Last Name*
Student's Preferred name
Guardian's First Name*
Guardian's Last Name*
Guardian's Preferred name
Guardian's Email (if applicable)
Student's Date of Birth*
Address Line 1*
Address Line 2
What instrument do you play?*
How many years have you been playing?*
Please list any previous music education you have completed (optional)
Would you like to join our mailing list? Please choose the categories that you wish to receive more information about (optional)
JMI Live & GigsJMI Courses & ClassesEssentially Ellington
Would you like to pay for the registration fee through a payment plan? (optional)
Full payment upfrontWeekly ($55/wk)Fortnightly ($110/fn)Monthly ($220/mth)
JMI will contact you to confirm your preferred payment option once this form is submitted
I declare that the information on this form is, to the best of my knowledge, true in every respect.
I declare that by completing this form I agree to pay the $440 registration fee for JMI's Youth Program. (JMI will send you a confirmation of your registration within 2 working days.)