Houston Suzuki Institute 2020

___ $85 – Application Fee (non-refundable)

___ $445 – Full Institute Enrollment 

(open to all ages, pre-twinklers thru book 10 and up)

(includes Master Class, Suzuki Repertoire, Technique, Fiddling and choice of Orchestra or other Enrichment Classes plus Parent Talks, Play-In, Fiddle Jam Sessions, Recitals, Final Concert, student’s institute t-shirt, and Western Swing Night for one student/one parent)

___ $15.00 – Additional institute t-shirts (per shirt) for parents, siblings, etc.

___ $20/$12 – Additional attendees for Western Swing Night BBQ Dinner (per adult/child) Ages 4 and under are free

___ $75 – Late Registration Fee (after April 20)

 

Student’s name ____________

Student’s age ______________

DOB

———-select boxes – MM/DD/YYYY

__ Student is age 16 or older and will drive themselves to the institute 

OR

__ Name of adult (parent, grandparent, nanny, etc.) that will attend institute with student:

Name ____________________

Adult’s cellphone __________

Relationship to student _______

Grade in school (the grade you are currently in this school year)

———-pull down list – numbers K-12

Student’s email _____________

Student’s cellphone _________

Instrument ________________________

———-drop down menu – Violin, Viola, Cello, Bass

Years studied ______________________

Suzuki Book # _____________________

Current working piece: (as of today)

Suzuki Book # ___________  

Name ___________________

Composer _______________

Polished piece: 

Suzuki Book # ___________  

Name ___________________

Composer _______________

___ I would like to participate in Orchestra

Reading level ______________________________________

Private teacher’s name _____________

Private teacher’s email ______________

Private teacher’s phone _____________

___ Yes, I would like to play on a Recital

Polished piece: 

Suzuki Book # ___________  (if applicable)

Name ___________________

Composer _______________

Food allergies ______________ 

T-shirt size (student’s t-shirt included in institute fee)

————–pull down list – CHECK ONLY ONE –  __ 2T __3T __4T __Youth XS(4-5) __Youth S(6-8)  __Youth M(10-12) __Youth L(14-16) __AS __AM __AL  __AXL __2XL __3XL