Student Account Registration

Account Registration

First Name *

Last Name *

Nickname (if any)

Are you a current student in the BHS Jazz program?

Yes

If you are not a student, please fill out the parent/guardian registration form instead.

What year will you graduate from Berkeley High? *

Expected High School graduation year

What middle school did you go to?

What's you BUSD student ID? (if you are already enrolled in Berkeley School District)

Email *

This should be your BUSD email, but if you do not have one, enter your personal email here.

Email 2

Your personal email, if you have one

Phone 1 *

Address Line 1 *

Number and street where you live

Address Line 2

Apartment or unit number, if any

City *

State/Province *

Zip/Postal Code *

Country

What is your primary instrument? *

Student Private Music Teacher

Private music lessons teacher/s, if any.

Please let us know what gender you prefer. *

Please tell us about how you identify your race/ethnicity. Choose as many as apply. *

American Indian/Alaskan Native

Black or African American

Asian or Asian American

White

Native Hawaiian or Other Pacific Islander

Hispanic or Latino

Middle Eastern or North African Descent

Choose not to identify

Create an account to save your information and access our online portal!

Password *

Retype Password

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