Suzuki Strings of Madison Registration Form, Fall 2009/Winter 2010

Student Name(s): A.

B.

Students' Birthdates: A. B.

Parents' Names:

Address:

Home Phone: Work Phone: Cell Phone:

Email address:

Most Recent Piece Studied: : A. B.

Semester Fees:

Group Class Tuition:

                                                      First Student $175 

                                         Additional Student(s) $135 x       =    

Violists or Cellists in Ensemble $50.00 x =

             Late Fee (After Sep 29 and Jan 26): $10.00

Suzuki Association of Americas Associate Membership $35.00/yr

(optional, includes subscription to Suzuki Journal)

Tax-exempt donation toward scholarships(optional)

TOTAL

*Group Classes include Suzuki Repertoire, one Music-in-Action Class, Play-Ins, concerts, recitals, and all necessary class materials.

The due date for both the semester and annual fees is Sep 29. Second semester fees are due Jan 26.

Make checks payable to Suzuki Strings of Madison and give them to your private teacher.

Please be prompt with your tuition payments.

Private lesson tuition is payable to your private teacher:

20-min lesson $16.00

30-min lesson $24.00

45-min lesson $36.00

1-hour lesson $48.00