Jazz at Kingsbury Hall Registration Request Form; Christian McBride on February 21st 2025 3:30-4:30PM

Priority to work with artists is given to University of Utah Students, then to students at other educational institutions, then educators/community members on a first come first served basis. Capacity to spectate is limited to 100 people.

Participant Information

First Name *

Last Name *

Please select from the following list below. I am a... *

School Name (If applicable)

School District (If applicable)

Type of school (If applicable)

Primary Phone Number *

Email Address - ALL CORRESPONDENCE WILL BE SENT TO THIS ADDRESS *

All classes have a maximum capacity dependent on artist. Priority to work with artists is given to University of Utah Students, then to students at other educational institutions, then educators/community members on a first come first served basis. Capacity to spectate is limited to 100 people. *

I Acknowledge and adhere to this guideline

Please indicate any accommodations needed for the event. If an accommodation is not listed, please select other and specify. For other, please state the reason for accommodation. For any accommodation, please elaborate in the comment section below if needed.

Accessible Seating (Wheelchair access seating)

ASL Interpretation

ALD (Assistive Listening Device)

Trained Service Animal Joining (Please note: Emotional Support Animals and pets are not permitted.)

Sight Impairment Seating

Other Other

Media Release Statement

Photography and videotaping of students is occasionally done for reporting, grant and publicity purposes. I understand that students' images may be used for these purposes. By selecting "I agree", I hereby release and discharge UtahPresents from any and all claims and demands arising out of or in connection with the use of the photographs or video, including without limitation any and all claims for libel or invasion of privacy. *

I Agree

I Disagree & will contact the Community Engagement Manager to make arrangements.

Thank you for your interest. You will be contacted within 5 school days with event details. For any questions or concerns, please contact the Community Engagement Manager Melissa Salguero at Melissa.salguero@utah.edu. Please watch out for other engagement opportunities!