UJAM Membership Sign-up Form

First Name

Last Name

Email

Family First Names or Group Name

Phone 1

Home Phone

Address

Postal Code

City

Province

Do you play an instrument?

Complete Beginner

Professional Musician

Are you a singer?

Complete Beginner

Professional Musician

Are you interested in volunteering?

What are you interested in volunteering for?

Summer Jazz Workshop

Monthly Club Nights

Young All-Stars Program

Other

Do you have skills or knowledge you would like to share? Please indicate below: