Little Notes Registration
We're looking forward to seeing you in Little Notes! Fill out and submit the form below to register.
Email address *
Student name *
Your answer
Student age *
Your answer
Student date of birth (MM/DD/YYYY) *
Your answer
Parent/guardian names *
Your answer
Mailing address *
Your answer
City *
Your answer
Zip code *
Your answer
Primary phone *
Your answer
Alternate phone
Your answer
Choose your class *
Payment options (payment due at first class) *
One-time materials fee: If this is your first time registering for Little Notes, there is a one-time $25 Materials Fee. This will be added to your payment at your first class, and applies to all families, including infants 6 months and younger.
Emails *
Required
Permission *
I give my permission for photographs and videos taken of my children and/or members of my family, to be shown or used in educational and promotional material used in connection with Eugene Suzuki Music Academy.
Policy *
Required
How did you hear about us?
Your answer
Comments
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.