Student Registration – Saturday Conservatory of Music

Personal Detail

Student Name *

Gender *

Male

Female

Other

Birthday *

Phone Number

Student's Email *

Address *

City *

State *

Zip Code *

Student's School *

Student lives with:

Both Parents

Mom

Dad

Shared Custody

Guardian

Other

Parent / Guardian Detail

Parent / Guardian Name *

Parent / Guardian Phone *

Parent / Guardian Email *

Parent / Guardian Address (if different from student)

Parent / Guardian Occupation, Title, Employer

Student Health Detail

Student's Health Issues Allergies, Asthma, Special Needs, etc.

Emergency Contact? Person Authorized to care for Student in Emergency (if other than those listed above)

Relationship

Phone Number

Doctor's Name

Doctor's Phone

Preferred Hospital (if no family doctor)

Sibling Discount - Not applicable to those with discount/scholarship

($5 off per one student enrolled in our program & siblings must be concurrently enrolled in our program for discount to apply).

Full Name of 1st sibling at SCM

Full Name of 2nd sibling at SCM

Full Name of 3rd sibling at SCM

Full Name of 4th sibling at SCM

Admission Detail

Main Class *

Section *

Upload Photo

Class 1

Section 1

Class 2

Section 2

Class 3

Section 3

Username *

Password *

We are returning to in-person instruction!

Saturday Conservatory of Music

Saturday Conservatory of Music

Online Registration

Saturday Conservatory of Music

About SCM

Our Unique Approach

Our Classes

More Information