Jam Camp works hard make itself accessible to a diverse range of populations. Donors and foundations typically ask for this information to be included in any fundraising appeal that we submit. We will keep this information anonymous.

Birthdate

MM/DD/YYYY

Gender

If Other, Please Specify

Pronoun(s)

She/HerHe/HimThey/ThemOther

If Other, Please Specify

Race/Ethnic Background (check all that apply)

American Indian or Alaskan Native or Indigenous or First NationsArab or Middle EasternAsian or Asian AmericanBlack or African-AmericanHispanic or Latina/Latino/LatinxPacific Islander or Native HawaiianCaucasian or White or European AmericanOtherDecline to state

If Other, Please Specify

Do you identify as LGBTQ+?

YesNoDecline to state

Cabin Preference

MaleFemaleNon-BinaryOther

Roomate(s) Preference

Instrument & Discipline Information

What is your primary instrument/discipline?

If Other, Please Specify

What other disciplines/classes would you be interested in taking during the week of camp? (PLEASE SELECT ALL THAT APPLY)

Bass	Cello	Clarinet
Dance	Drums	Flute
Guitar	Percussion	Piano
Sax	Trombone	Trumpet
Violin	Vocals

Parent/Guardian Information

Primary Point of Contact

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship to Camper

Preferred Phone Number

Preferred Email

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

Is there a 2nd Parent/Guardian that should be included in communications about Jam Camp and/or the Camper?

YesNo

Additional Parent/Guardian Information

Secondary Point of Contact

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship to Camper

Preferred Phone Number

Preferred Email

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

Hidden Date Field

Scholarship Request

Living Jazz has a commitment to keep our programs as accessible as possible and we provide financial aid to approx. 25% of our camper population. Financial aid is based on need, not skill or experience. Because we are unable to provide financial aid to all those that apply, please review your situation before completing a scholarship application.

In most cases, scholarships help with camp tuition but not the cost of room and board. Please keep this in mind when projecting what you estimate you can pay. Most awards range between $500-$800 depending on each individuals situation.

Deadline to apply is 05/31/2025

Will you be requesting a Scholarship for Jam Camp 2025?

YesNo

Have you received a scholarship in the past?

YesNo

If so, which years?

Annual Household Income

Under $40,000$40,000 - $59,999$60,000 - $79,999$80,000 - $99,999$100,000 - $119,999$120,000 - $139,999$140,000 or aboveDecline to state

How many total people live in your household?

How many of those are dependents?

Estimate on what I can pay for fees

Please explain your need for assistance in a brief 1-2 paragraphs explaining your current financial situations, why financial aid would be beneficial and why attending Jazz Camp is important to you.

Marketing/Friend Information

First Time Camper?

Yes this is my first time at Jam CampNo I am a returning camper

How Did You Hear About Jam Camp West?

If Other, Please Specify

Spread the word about Jam Camp West to your friends/family. Enter their email address and they will get an email with 2025 Jam Camp Dates.

Email 1

Email 2

Email 3

Email 4

Terms & Conditions

Tuition Discounts

Early Bird $50 Discount: Must pay balance in full by April 30, 2025.

Cancellation Policy

All cancellations must be submitted in writing.

All enrollments include a non-refundable deposit fee of $100.

Cancellations after July 10, 2025 (7 days prior to the start of camp), will receive a 50% refund of the enrollment fee.

Refunds

There will be no refunds for “no shows”.

All sales are taken on a first-come, first-served basis.

COVID-19 Policy

Living Jazz is committed to the health and safety of its intergenerational community, which includes children, seniors, and immunocompromised individuals. We will adhere to the latest guidelines from the CDC and the American Camp Association regarding COVID-19 and reserve the right to adjust our policies accordingly.

Acknowledgement

By enrolling and paying your tuition all attendees agree to the following:

I recognize that all Jam Camp West 2025 attendees, staff, and faculty must follow safety instructions, remain in areas designated by Jam Camp West staff and volunteers, and refrain from behavior that is harmful to themself or to others. Recognizing that Jam Camp West will do its best to ensure a safe experience, I understand that certain dangers, accidents, or illnesses may occur.

I hereby release Living Jazz, Inc., Jam Camp West, as well as its directors, officers, staff, and volunteers from any and all responsibility and liability of any nature, including claims of injury, illness, death, loss, or damage resulting from the camper’s participation in Jam Camp.

I hereby acknowledge and agree that should I need to leave camp early for any reason including but not limited to illness, personal emergencies, injury, or personal choice that I am not eligible for a refund from Living Jazz for Jam Camp West 2025.

I also acknowledge that any damage that campers may cause to other persons or to property, regardless of the nature of the damage or claims, and to indemnify and hold Living Jazz harmless from any costs, damage or injury to any person or property arising from or related to camper’s participation in Jam Camp West.

I agree to the terms and conditions

Payment Details

Total Due

Name (as it appears on credit card)

Cardholder Email

Credit Card #

Security Code

Expiration Month (MM)

Expiration Year (YYYY)

reCAPTCHA helps prevent automated form spam.

The submit button will be disabled until you complete the CAPTCHA.

Contact Information

Important Information

What Happens If A Camper Gets COVID-19 Before Camp: In the event that a camper contracts COVID-19 right before the start of camp and provides proof of infection, a full refund will be made minus the $100 deposit.

In the event a camper had COVID-19 and is no longer contagious, we require a doctor’s confirmation.
Living Jazz reserves the right to make changes or cancellations due to the most current CDC and American Camp Association recommendations. Families will be notified as soon as possible if any changes occur.

We are paying close attention to COVID-19 rates, hospital capacities, American Camp Association and CDC guidelines.

All Jam Camp West 2023 attendees acknowledge and agree that if anyone needs to leave camp early for any reason including but not limited to illness, personal emergencies, injury, or personal choice that they are not eligible for a refund from Living Jazz for Jam Camp West 2023.
Thank you for your understanding. Jam Camp West is making every effort to provide a safe camp environment for all.

“I just want to extend my personal gratitude for everything you have done for the Living Jazz community, and for me personally over the years. Living Jazz has made a huge difference in my life. It has become a community full of friends that I love dearly, and your programs have played a huge part in the development of my love for music and jazz.”

— Jacob Shandling, Jazz Camp West participant

Living Jazz

Statement on Community Inclusivity and Respect

Website images: Rosaura Sandoval & others

1528 Webster Street, Oakland, CA 94612 | 510.858.5313 | info@livingjazz.org