Please fill out this form in its entirety and return it ......Suzuki Program Fill out the form below...
Transcript of Please fill out this form in its entirety and return it ......Suzuki Program Fill out the form below...
BSS Summer Workshop August 12 - 16, 2019 Suzuki Program
Fill out the form below and return it with the student information form and full payment to:
Buffalo Suzuki Strings, 4 Webster St., N. Tonawanda, NY 14120
Deadline for registration: June 30, 2019 Applications received after this date will be accepted based on
availability.
Early registration bonus: Sign up before May 31 and receive a discount!
No refunds after July 15.
A workshop T-shirt is included for everyone: please circle a size.
Youth XS S M L Adult S M L XL
Payment (circle): check cash credit card
Amount: $____________ Zip Code: ____________
CC# ___________________________________________
Expiration _______________ Security code ___________
Signature________________________________________
Please fill out this form in its entirety and return it with your full payment. No refunds after July 15.
One student per form.
STUDENT INFORMATION
Name: ______________________________________ Age: ________
Address: _________________________________________________
Parent(s) Names: __________________________________________
Phone: ___________________ E-mail: _________________________
Instrument: _______________ Teacher: ________________________
SUZUKI PROGRAM INFORMATION Please complete to ensure proper class placement.
Most polished piece: ____________________ Suzuki Vol. No. ______
Current piece: _________________________ Suzuki Vol. No. ______
Reads music? _________ Examples: ___________________________
What orchestras or ensembles does the student participate in?
_________________________________________________________
Class Tuition
Discount tuition, prior
to May 31 Amount Paid
Introduction to the Suzuki Method (2 hrs) $225 $200 $____________
Suzuki Program, books 1-5 (3 hrs) For students playing Violin, Viola, Cello, Piano & Classical Guitar $325 $300 $____________