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Suzuki Institute Summer Reset Registration
steffani
2023-11-06T17:22:35-05:00
2024 Student Information
Today's Date
Student's First Name
*
Student's Last Name
*
Student's preferred pronouns
*
He/Him
She/Her
They/Them
Student's Birthday
*
Parent/Guardian's First Name
*
Parent/Guardian's Last Name
*
Parent/Guardian's Email Address
*
Parent/Guardian's Phone
*
Musical Study
Years of Study on primary instrument
*
Student's current Suzuki violin book
*
Pre-Twinkle / Just Beginning
Early Suzuki Book 1 (before Allegretto)
Late Suzuki Book 1
Early Suzuki Book 2 (before The Two Grenadiers)
Late Suzuki Book 2
Early Suzuki Book 3 (before Humoresque)
Late Suzuki Book 3
Student's current working piece
*
Private Teacher's First Name
*
Private Teacher's Last Name
*
Teacher's Email Address
*
Agreements
Tuition and Institute Agreement
*
I agree to pay tuition, $375 in full
I, as parent or legal guardian, agree to accompany my child to all institute classes. I agree to bring violins, books, snacks, water bottle, food etc. as they will not be provided (Any enrichment instruments and materials will be provided for the participants)
Please check the boxes below to signify your consent. Please note, tuition is non-refundable.
Media Release
*
I authorize Education for Happiness to record the image of the above-named participant. I understand these images will only be used for educational purposes, advertising and promotional purposes exclusively for Education for Happiness, and will not be sold or knowingly shared with any third parties. Individuals will not be identified by name in any publicly visible materials without prior written consent from the individual or legal guardian if the individual is a minor.
I do not authorize Education for Happiness to use my child's image
Eastern Michigan University Rules and Regulations
*
I understand that we are guests and Eastern Michigan University and will insure that my child and I treat the facilities with respect
Eastern Michigan University is a Tobacco Free Campus as of July 1, 2015
Alcohol is not permitted in the Student Center, McKenny Hall, Lake House or other campus buildings without approval from the Presidents Office for a liquor license
Animals other than those trained to assist the physically challenged or registered service animals are not permitted in our facilities.
Parking is the individual's responsibility. There are several paid lots available during this time.
Firearms, weapons, ammunition, fireworks and explosives are not allowed on the EMU campus.
Please check the boxes below to signify your agreement to the following:
Additional comments:
Early Bird Tuition
$
Tuition
$
Credit / Debit Card
*
Complete Registration
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