Single Student Registration Form Student Name * First Name Last Name Student's Date of Birth MM DD YYYY Instrument(s) If you are undecided, say "undecided." We'll help you narrow it down. Current Teacher If you are new to Suzuki, just say N/A. Teacher Preference * If you do not have a preference, just say N/A. Lesson Type * Please choose the length of private lesson you would like. Beginners typically start at 30 minutes. 30 Minute 45 Minute 60 Minute Parent/Guardian 1's Name * First Name Last Name Parent/Guardian 1's Email * For billing and communications purposes, we must have at least one active email on file. Parent/Guardian 1's Phone Number * We must have at least one active phone number on file for the person responsible for providing transportation to and from lessons. (###) ### #### Parent/Guardian 1's Employer If you are unemployed or are a stay-at-home parent, please let us know. Parent/Guardian 2's Name * First Name Last Name Parent/Guardian 2's Email * For billing and communications purposes, we must have at least one active email on file. Parent/Guardian 2's Phone * We must have at least one active phone number on file for the person responsible for providing transportation to and from lessons. (###) ### #### Parent/Guardian 2's Employer If you are unemployed or are a stay-at-home parent, please let us know. Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country What is your availability? * Please list all days/times that you can be scheduled for private lessons. (note: violin group lessons are held Saturday mornings; specifics provided by your private teacher) What experience, if any, does your student have playing an instrument? * If your student has no experience, please write N/A or "beginner." Is your family in a homeschool partnership program? * No Yes, Gull Lake Virtual Partnership Yes, Niles Homeschool Partnership Yes, Hamilton Homeschool Partnership Does your student attend Kazoo School? * Yes No How did you hear about the Suzuki Academy of Kalamazoo? * Word of mouth Facebook Web searches Printed materials Returning student Referred by a friend Other Do you have any additional comments or special requirements? By submitting registration, you agree to pay the registration fee and are ready to begin scheduling lessons, and you confirm that you have reviewed our policies. * Please DO NOT submit this form if you are not prepared to become a fully enrolled Suzuki student. If you are merely inquiring about lessons, please email us at suzukiacademykalamazoo@gmail.com. Our policies can be reviewed in the "Policies" tab on our website. Thank you! We will be in touch about scheduling your lessons soon.
