Register Today*

*You don’t need to have a username/password to register!

On-Line Registration Form

Please submit a separate form for each participant.

Once complete, a confirmation will be emailed to you.

Please type "n/a" where not applicable.
First Name(Required)
Last Name(Required)
Musician's Weekly Contact E-Mail(Required)
Home Phone(Required)
Cell Phone(Required)
Street(Required)
City(Required)
State(Required)
Zip Code(Required)
What instrument do you play?(Required)
How many years have you been playing?(Required)
Musician Skill Level(Required)
What school do you attend?(Required)
If you're in school, what grade?(Required)
What synagogue do you belong to? (Required)
Which band will you be joining?(Required)
Parents' Names(Required)
Parents' E-Mail(Required)
Parent's Cell Phone(Required)
How did you hear about us? (If referral, enter musician's name.)
Terms and Conditions
I have read (1) the General Release and Participation Agreement and (2) the Member Guidelines and agree to be bound thereby.
Mitzvah Credit
I understand that in order to receive mitzvah credit I must attend at least 5 rehearsals per semester and at least 4 concerts during the year.
Please select one:
I agreeNot applicable
Registration Fee Information
I understand that participation is contingent upon payment of all program fees and my agreeing to the "General Release and Participation Agreement".
Select intended payment option (to be paid by cash or check)(Required)
E-Mail Address for registration confirmation(Required)
Remit To: Westchester Klezmer Program; 25 Manor House Lane; Dobbs Ferry, NY 10522

Westchester Klezmer Program, Inc.

is a New York State not-for-profit corporation

and has been designated as a 501(c)(3) entity by the IRS.

Westchester Klezmer Program