/School of Music Registration
School of Music Registration 2017-06-21T16:35:12+00:00

School of Music Registration Form 2017

 

Name:*
Address:*
Birthdate:*
 / 
 / 
Age:*
School Attended:*
Does your child read music or play an instrument?*
IF yes, for how long?
If desired, you may choose ONE elective:

** must be able to read music

Allergies/Conditions we should know about:
Parent's Name:*
Contact Number:*
-
E-mail:
Parent/Guardian:*

Release Statement:

By signing this form, I give permission for my child to attend and participate in the 2017 First Lutheran Church-Jessica Lokken Summer School of Music and Art and agree to the school's standard procedures and policies.  I also give permission for a photo release for pictures taken during the sessions that may be posted on the FLC Website, posted on Facebook, published in the newspaper, and used in other places.