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					                      Registration- Winter/Spring 2012
                         Suzuki Strings of Madison

Student Name(s): A.____________________________________ Birthdate(s) _____________
                   B. ___________________________________                 _____________
                   C. ___________________________________                 _____________
Parent Names(s) ______________________________________________________________
Address: _______________________________________________________________________________
Home Phone: ______________ Work Phone: ______________ Cell Phone: _______________
Email address(es): ____________________________________________________________________
Current Piece: A. __________________________________ B. ________________________________
               C. __________________________________
Semester Fees:
Group Class Tuition*                    First Student             $175          _________
                                        Additional Student(s) $135 x ___= _________

Late Fee (after Jan. 31st 2013)                                      $10          _________

Cellists or Violists in Ensemble                                     $50 x ___= _________

Suzuki Association of the Americas Membership                        $35/yr.      _________
(optional, includes subscription to Suzuki Journal)

Tax‐exempt donation toward scholarships (optional)                                _________

Please circle one: Check PayPal                                      TOTAL        _________


Make checks payable to Suzuki Strings of Madison and give them with
this form to your private teacher. If using PayPal, submit only this form
to your private teacher. Thank you for being prompt with your tuition
payments.



* Group Class Tuition includes Suzuki repertoire class, one Music in Action class (Dalcroze,
Theory or Ensemble), concerts, recitals and all necessary class materials.

				
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