Great Lakes Suzuki Flute and Recorder Institute
2018 Student Registration Form
Child's Name *
Your answer
Accompanying Parent's Name *
Your answer
Street *
Your answer
City *
Your answer
State or Province *
Your answer
Phone *
Your answer
Email *
Your answer
Home Teacher *
Your answer
Current Piece *
Your answer
Music Reading Level *
Payment Method *
US or CND funds only, payable to "Great Lakes Institute"
Amount Due *
Registration will not be processed until all funds are received
Required
Please note: ALL fees are non-refundable after June 30, 2018
Please mail payment to:
Kelly Williamson
240 Main Street
Cambridge Ontario
N1R 1X3
Canada
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