Student Registration 2018-2019
SIBLINGS: PLEASE COMPLETE ONE REGISTRATION FORM FOR EACH STUDENT

Edmonton Suzuki Flute and Recorder Society
162 Bonnie Doon Mall, PO Box 68178, Edmonton AB T6C 4N6
www.suzuki-flute-recorder.ca
780-887-1421
suzukifluteandrecorder@gmail.com

Registration is not complete until all fees are received.

Parent / Guardian
This is the name of the person who will be attending lessons with the student.
This is also the person who will receive all communications from the program via e-mail.
Last Name *
Your answer
First Name *
Your answer
Any other person who may act as parent or guardian to the student
Your answer
Contact Information
Email address *
ESFRS sends all notices via email. Please give us an address that you will check regularly.
Your answer
Confirm Email address *
Please enter the same email address again to help avoid typogrphical errors.
Your answer
Additional Email address
For any other family members who wish to receive notices about ESFRS events.
Your answer
Additional Email address
For any other family members who wish to receive notices about ESFRS events.
Your answer
Telephone number *
This is the primary phone number of the parent/guardian named above
Your answer
Additional Telephone number
Other numbers for parent/guardian named above (work, cell, etc.)
Your answer
Street Address *
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
General information
Media Release *
I understand that photographs, audio recordings, and video recordings may be taken of me and my child while he/she is participating in ESFRS activities. The Suzuki Association of the Americas requests videos of teachers in action with parents and students as part of their teacher accreditation program. I understand that my children and I may appear in videos made and submitted to the SAA for this purpose. I give permission to the ESFRS to use photos, audio recordings, and video recordings of me and my child(ren) for teacher accreditation, as well as brochures, newsletters, websites, and other materials that are used to promote awareness of the program and celebrate student accomplishments. These images will not be altered in any way that is not considered acceptable.
Borealis Suzuki Winds Institute (BSWI)
The Borealis Suzuki Winds Institute is included as part of the program for the year for all students registered with ESFRS. This year's Institute will happen on August 17 - 23, 2018.

Please indicate which BSWI instrument session you wish to attend.

The recorder session will be at the Schoen Duo Studio, the flute session will be at U of A Campus St. Jean. The Monday afternoon session will overlap both programs st Campus St. Jean.

BSWI session: *
Student Information
SIBLINGS: PLEASE COMPLETE ONE REGISTRATION FORM FOR EACH STUDENT
Last Name *
Your answer
First Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Please choose one of the following categories *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.