Student Name *

First Name

Last Name

Parent/Guardian One *

First Name

Last Name

Parent/Guardian One's Phone Number *

We must have at least one parent or guardian's number on file for communication purposes.

(###)

###

####

Parent/Guardian Two

First Name

Last Name

Parent/Guardian Two's Phone Number

We must have at least one parent or guardian's number on file for communication purposes.

(###)

###

####

Student's Home Address *

We must have at least one address on file for mailing purposes.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Alternate Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additional Student

If you have more than one student participating in O.Jamm, please enter their information below.

First Name

Last Name

Photo & Video Release *

O.Jamm will be taking photos and videos of our lessons, rehearsals, and performances regularly to use on our site and on social media. Please indicate that you understand your student's image may be used for these purposes.

Yes, I agree to allow my student(s) image to be used