Student Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Parent/Guardian (if student is under 18)

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I have previously studied at SJSM-SPCM

I am a Music Across Minnesota (MAM) student

I am a Project Success student

I am a student at Andersen United Middle School

Desired Start Date

MM

DD

YYYY

I am interested in lessons *

Online

In Person

Hybrid

Student Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Primary Billing Contact *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please register me for: *

Children's Vocal Ensemble (ages 5-11, Kathy Lee, Tues 5:00-6:00 PM, starting 9/16/2025, at 1619 Dayton Ave

Midweek Music (ages 3-6, Kathy Lee, Wed 10:00-10:30 AM, starting 9/17/2025, online)

My First Music Class, Session I (ages 3.5-5, Ada Tzab, Mon 5:30-6:15 PM 9/15, 9/22, 9/29, 10/6, 10/13, and 10/20/2025, at 1619 Dayton Ave)

My First Music Class, Session II (ages 3.5-5, Ada Tzab, Mon 5:30-6:15 PM 11/10, 11/17, 11/24, 12/1, 12/8, and 12/15/2026, at 1619 Dayton Ave)

My First Music Class, Session III (ages 3.5-5, Ada Tzab, Mon 5:30-6:15 PM 1/12, 1/19, 1/26, 2/2, 2/9, and 2/16/2026, at 1619 Dayton Ave)

My First Music Class, Session IV (ages 3.5-5, Ada Tzab, Mon 5:30-6:15 PM 4/13, 4/20, 4/27, 5/4, 5/11, and 5/18/2026, at 1619 Dayton Ave)

Piano Explorers, Session I (ages 4-6, Sandy Waterman, Tues 5:30-6:15 PM 9/16, 9/23, 9/30, 10/7, 10/14, and 10/21/2025, at 1619 Dayton Ave)

Piano Explorers, Session II (ages 4-6, Sandy Waterman, Tues 5:30-6:15 PM 11/11, 11/18, 11/25, 12/2, 12/9, and 12/16/2025, at 1619 Dayton Ave)

Piano Explorers, Session III (ages 4-6, Sandy Waterman, Tues 5:30-6:15 PM 1/13, 1/20, 1/27, 2/3, 2/10, and 2/17/2026, at 1619 Dayton Ave)

Piano Explorers, Session IV (ages 4-6, Sandy Waterman, Tues 5:30-6:15 PM 4/14, 4/21, 4/28, 5/5, 5/12, and 5/19/2026, at 1619 Dayton Ave)

Baroque Ensemble, Session I (adults of all levels, Steven Zubich, Thur 12:00-1:00 PM, 9/18, 9/25, 10/2, 10/9, 10/16, and 10/23/2025, at 1619 Dayton Ave)

Baroque Ensemble, Session II (adults of all levels, Steven Zubich, Thur 12:00-1:00 PM, 11/6, 11/13, 11/20, 12/4, 12/11, and 12/18/2025, at 1619 Dayton Ave)

Chamber Orchestra (adults, Catherine Himmerich, Fri 6:30-7:30 PM, starting 9/19/2025, at 1619 Dayton Ave)

Clarinet Choir (adults, Jake Meyer, Wed 6:00-7:00 PM, starting 9/10/2025, at 1619 Dayton Ave)

Flute Ensemble, Session I (adults, Andrea Myers, Tue 6:15-7:00 PM, starting 9/2/2025, at 1619 Dayton Ave)

Gamba Consort, Session I (adults, Maryne Mossey, Sat 11:00 AM-12:30 PM, 9/20, 9/27, 10/4, 10/11, 10/18, and 10/25/2025, at 1619 Dayton Ave)

Gamba Consort, Session II (adults, Maryne Mossey, Sat 11:00 AM-12:30 PM, 1/10, 1/17, 1/24, 1/31, 2/7, and 2/14/2026, at 1619 Dayton Ave)

Gamba Consort, Session III (adults, Maryne Mossey, Sat 11:00 AM-12:30 PM, 4/11, 4/18, 4/25, 5/2, 5/9, and 5/16/2026, at 1619 Dayton Ave)

Latin, Jazz, and Rhythm and Blues Ensemble, Session I (high school and college age, Gary Gratz, Tue 7:00-8:00 PM, 10/14, 10/21, 10/28, 11/4, 11/11, 11/18, 11/25, and 12/2, at 1619 Dayton Ave)

Latin, Jazz, and Rhythm and Blues Ensemble, Session II (high school and college age, Gary Gratz, Tue 7:00-8:00 PM, dates TBD)

My child takes private lessons at SJSM-SPCM

Student Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Primary Billing Contact *

First Name

Last Name

Phone *

(###)

###

####

Additional Parent/Guardian Contact (Optional)

First Name

Last Name

Phone

(###)

###

####

Student Name (first and last) *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Parent/Guardian Name (first and last) *

First Name

Last Name

Phone *

(###)

###

####

Please register my child for: *

Summer Band, 8/25-8/28 (Monday-Thursday), 9:00 AM-4:00 PM