Student Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Parent/Guardian (if student is under 18)

First Name

Last Name

Phone *

(###)

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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

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

Parent/Guardian *

First Name

Last Name

Phone *

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please register my child for: *

2024-2025 Children's Vocal Ensemble (Kathy Lee, Tuesdays 5:00-6:00 PM, at 1619 Dayton Ave, $235)

2024-2025 Midweek Music (Kathy Lee, Wednesdays 10:00-10:30 AM, online)

My child takes private lessons at SJSM-SPCM. No tuition is due for Children's Vocal Ensemble or Note Heads registration.

My child is eligible for Music Across Minnesota. No tuition is due for Midweek Music registration.

Student Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Phone *

(###)

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Please register me for: *

2025 Spring Viola da Gamba Consort (Maryne Mossey, Saturdays 11:00 AM-12:00 PM, 4/19, 4/26, 5/3, 5/10, 5/24, 5/31, at 1619 Dayton Ave), $165.00

2025 Spring Clarinet Choir (Jake Meyer, Wednesdays 6:00-7:00 PM at 1619 Dayton Ave, 14 class meetings 1/29-5/7, no class 4/2)

2025 Summer Brass Ensemble (Partin/Husting, Tuesdays 7:00-8:30 PM at 1619 Dayton Ave, 6/10, 6/17, 6/24, 7/8, 7/15, 7/22, 7/29, 8/5, 8/12, concert on 8/15)

Student Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Parent/Guardian *

First Name

Last Name

Phone *

(###)

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Student Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

Parent/Guardian *

First Name

Last Name

Phone *

(###)

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Please register my child for Summer Band, 9:00 AM-12:00 PM, 6/13, 6/20, 6/27, 7/11, 8/1, 8/22, at 1619 Dayton Ave *

All 6 Summer Band meetings, $315

Custom dates, $65 per class meeting (please list dates below)