Valley of the Sun Suzuki Association Group Lesson Registration
Complete 1 form per child – visit our website www.valleysuzuki.org
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Private teacher fills out this portion : Instrument – Violin Viola Cello
Student_______________________ Teacher __________________________
Current polished piece____________________________
Class 1_________________ Class teacher_________________ Room _______
Class 2_________________ Class teacher_________________ Room _______
Parent fills out this portion : Student age___________
Parents____________________________ Phone ( )__________________
Address_________________________________ City__________ Zip________
E-mail__________________________________
____Check here if you want your child to be scheduled to perform in one of the
VSSA recitals this year.
Payment Portion and Photo Release :
I understand that active participation on my part is an expected part of my child's participation
in these lessons. Photo release: VSSA may use any photos taken during group lessons, workshop,
or performances for use on web-site.
I understand that due to fixed expenses, all tuition is NON-REFUNDABLE.
Parent Signature____________________________________ Date___________
Payment Options – please check the appropriate box
One payment, due upon registration - $155 ($100 if pre-registered)
Two Payments - 2 checks, $77.50 each ($50 each if pre-registered)
If you choose the two payment option, TWO checks must be submitted upon registration, one with the current date and one post-dated November 1.
Make all checks payable to VSSA.
Teacher, keep the top copy of this form to turn in with payment.
Parent, bring your copy of this form with you to Group Lesson !