Student Application - U of L Suzuki Piano Institute
July 17-21, 2017
Student Tuition - $400 (by June 10th)

Please fill out the form completely and click on "Submit."

First Name
Your answer
Last Name
Your answer
Age
As of July 20, 2017
Your answer
Sex
Book
Current Suzuki Volume
Recital Piece
If you don't know it, take your best guess. You can update it later. For students in Volume 1, please indicate hands together ("HT") or right hand ("RH").
Your answer
Daily Lesson Piece
If you don't know it, enter the current polished piece and update later. For students in Volume 1, please indicate hands together ("HT") or right hand ("RH").
Your answer
T-Shirt Size
The student's t-shirt is included with tuition.
Parent's Name
The parent who will attend the Institute. Note: All minors must be accompanied by their parent.
Your answer
Second Parent
If two parents will attend the Institute, enter the second one here.
Your answer
E-Mail Address
This is where we will send Institute correspondance.
Your answer
Home Phone
xxx-xxx-xxxx
Your answer
Cell Phone
xxx-xxx-xxxx
Your answer
City
Your answer
State
Your answer
Home Teacher
The student's piano instructor
Your answer
Attending?
Will the home teacher attend the Institute?
Comments
Your answer
Submit
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