• JASC Taiko Workshop Registration Form

  • Learn traditional Japanese taiko drums with our partner, Tsukasa Taiko! Drop in for a single session or join us for all three!

     

    Workshops will be offered on July 25, August 8, and August 15 from 11:30 AM - 12:00 PM at $20 per workshop for JASC members. $25 per workshop for non-JASC members.

     

  • Format: (000) 000-0000.
  • This phone is my
  • What is your preferred form of contact - select all that apply:
  • Become a Member

    JASC members pay an annual fee for benefits like discounted rates on classes and programs. A family membership includes 2 adults and all children under 18 for $115. Memberships are good for one year. If your membership has expired upon your registration, we will reach out to you to update your membership. If you are not a member and would like to get the member price, join and pay at jasc-chicago.org/become-a-member before registering.

  • Are you a JASC member?
  • Date of birth of Student #1
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  • Date of birth of Student #2
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  • If you want to register additional participants, please fill out this form completely, submit it, and fill out a second form. Thank you.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • If someone other than the parent or guardian or emergency contacts listed here is picking your child up, you MUST LIST THE INDIVIDUAL with FULL NAME and with PHONE NUMBER. The individual who picks up your child(ren), MUST SHOW identification (driver's license, state ID, passport).

  • Photo Release Consent

  • I hereby authorize Japanese American Service Committee ("JASC") and its representatives to use, print, publish, or display a picture and/or use my name for public relations or other purposes to benefit the JASC and its program. I have read and understand this consent form.
    • Workshop Fees Total 
    • Members - Please select the number of workshops you would like to register for:
    • Non - Members - Please select the number of workshops you would like to register for:
    • Your Fee Total for online payment

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    • Please complete your registration by clicking on one of the payment buttons below.

      If you pay by a credit card or debit card, please click the submit button below after you enter your card information. 

      if you pay using a PayPal account, your form will automatically be submitted after you input your payment information. 

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