Monarch Suzuki Academy Student Registration: Sept 2017-Aug 2018
Student Name (First & Last)
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Date of Birth
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School
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Grade Level
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Parents Names (First & Last)
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Parent Occupation(s)
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Mailing Address
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Preferred Contact Phone Number
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Email
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Class or Lesson Type
Payment Guidelines: (1) If you have previously participated in the ACH automated monthly payment system and wish to do so again, please check the appropriate box, below. (2) If you are a new student or if there have been changes to your banking information, please request an ACH Authorization form from the director to print and complete. It must be submitted by September 1, 2017 (2) If you choose to make one payment, you must turn in a check, payable to Monarch Suzuki Academy, for the full tuition amount by September 1st, 2017 (3) Refunds are only available on the basis of a permanent move from the greater Austin area.(4) Tuition will be prorated for students who register after September 1, 2017
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I agree to the terms of Monarch Suzuki Academy’s registration and understand that I am registering for a full year at MSA. Registration includes: (1) Participation in all lessons and group classes (2) Participation in all solo and group recitals (3) Recital and accompanist fees (4) Summer scheduling flexibility: fifteen weeks available to schedule eight lessons (5) Bi-annual Workshop Participation
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Digital Signature
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Today's Date
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