Jubilate Deo Registration Page - St. Paul's Music Conservatory

Student Name

First

Last

Student Grade

Grade your child is currently in (2nd -12th)

Student Age

Age of your Child

Parent Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Phone Number Type

Mobile
Land Line

Email

Notes for Staff (Allergies, Special Needs, etc.)

Special Student (Allergies,

Photograph Permission

Yes
No

I hereby give permission for photographs taken during the Jubilate Deo Lutheran Music Workshop to be used by St. Paul’s Music Conservatory of the above student(s) to be used for promotional purposes, including fliers, websites, Facebook, Instagram (Social Media Pages), news features, etc.