2017-2018 Registration - Deadline Aug 12
If you are a prospective student, please do not fill out this registration form until you have completed your observations and received your teacher assignment.

PLEASE MARK YOUR CALENDAR FOR THE MANDATORY PARENT ORIENTATION MEETING (YES, ALL FAMILIES, EVERY YEAR) WEDNESDAY, AUGUST 16TH AT 7:00 PM AT THE ARVEST COMMUNITY ROOM, @ ARVEST ON THE BENTONVILLE SQUARE. REGISTRATION FEES AND TUITION PAYMENTS ARE DUE AT THE ORIENTATION MEETING. DEADLINE FOR FALL REGISTRATION IS AUGUST 12TH.

Student Name (First, Last) *
Your answer
Student Birthdate *
Please use the MO/DA/YR format (i.e. 09/13/07)
Your answer
Email *
Your answer
Student Current Age *
Your answer
Parent/Guardian Name(s) *
Your answer
Cell Phone *
Please include dashes in your number (i.e. 479-123-4567)
Your answer
Home Phone *
Please include dashes in your number (i.e. 479-123-4567)
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Grade and School *
(i.e. 3rd - Sugar Creek Elementary)
Your answer
Instrument *
If your child is taking more than one instrument, please fill out a separate registration form for each instrument.
Teacher Selection *
Private Lesson Length *
Lesson Availability *
Please check all that apply.
Required
Scheduling Non-Availability
When are you absolutely NOT available?
Your answer
Additional Scheduling Information
What would you like us to know about your child?
Your answer
Father's Employer
Your answer
Mother's Employer
Your answer
Media Release *
I give my permission for my child to be photographed and/or videotaped during NWA Suzuki Strings activities. My child's image may appear in print or online promoting the school's activities. I understand that my child's name will not be used to identify my child. If I would like to withdraw my permission, I may do so at any time.
Studio Policies *
I have read all Studio Policies and Tuition and Fees information as outlined on the website and agree to abide by all policies.
Required
Comments or Questions
Your answer
T-shirt Order *
If you already have a red studio T-shirt, you may use it again for this year's performances. Studio T-Shirts are $10 each.
Captionless Image
Required
Additional T-Shirts
If you would like to order additional t-shirts for parents or other family members, please indicate the number of shirts and the sizes you would like to order below.
Your answer
T-shirt Payment
Please enter the total amount due (Number of T-shirts X $10.00 each). Payment is due by August 16th at the Mandatory Parent Orientation Meeting. You may also drop your payment with a note indicating what the payment is for at the Suzuki School payment box in the kitchen.
Your answer
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