Please provide the following student information:

Students First Name
Students Last Name
Street Address
City
State/Province
Zip/Postal Code
Home Phone
Age
Birth date
School
Grade

Please select the student's instrument.                    Violin Viola Cello Guitar Flute Piano

Please select a Suzuki Instructor.  Michelle Davidson - violin/viola Will Freeman-violin/viola Nan Freeman-violin/cello Paul Holt-guitar Julia Deans-flute Suzanne Williams-flute Cathy McGinnis-piano

Please enter your choices for lesson times below.     If you have already confirmed it with your instructor enter your confirmed lesson time.

                           Day     Earliest Time     Latest Time   

1st choice
2nd choice
3rd choice

 

Enter the email address where we can send important info about the school. (If you don't have email enter no email)            

Please enter the following parent information. If it is the same as the student enter same. If it does not apply leave it blank.

Mother's Name
Mother's Address
Mother's Employer
Mother's Occupation
Mother's Work Phone
Mother's Cell Phone
Father's Name
Father's Address
Father's Employer
Father's Occupation
Father's Work Phone
Father's Cell Phone

Lessons and Rates are based on a 30 minute regular lesson.  Please indicate if you need to schedule a longer lesson: 30 minute lesson 45 minute lesson 60 minute lesson

Please select a payment option: for more info        click here

Lump sum $750 Due Sept. 1st 4 payments of $200 Due Sept, Nov, Jan, and March.

Please select your preferred gift wrap option:        SSA gift wrap policy

1) I will work my 6 hours of gift wrap. 2) I would like to hire a wrapper to work my 6 hours for $100 3) I would like to make a tax deductible contribution for $160.

I need a SSA polo shirt for performances. no shirt needed Red n/a Youth ($15) Adult ($25) n/a Small Medium Large X Large XX Large

I would like to serve on the following committee(s):  n/a Hospitality Workshop Fund Raising Tour Group Publicity

I am interested in the following extra classes:  n/a Fiddle Class Chamber Music Junior Youth Orchestra

Important!!! Before hitting the submit button make sure you have filled in all the teal colored fields.  They are required fields.  If you receive an error message after you submit the form, hit the back button on your browser to return to the form and correct the error.