Desert Suzuki Institute.org - DSI Registration Form

DSI Registration Form

* Required Information

1. Contact Information

Student / Trainee Name:* Parent Name: (if student is under 18) Address: * Phone: * Cell Phone: Email: *

2. Course Registration:

You must fill out a separate Registration Form for each participating family member.

Are you Registering for Teacher Training or Student Institute? * Registration Fee * To help us best schedule your children's classes, please list all Registered Family Members below:

CLICK HERE TO FILL OUT THE STUDENT INSTITUTE SECTION

Student Age: * (if under 18 years old) Class Book * Current Piece * Master Class Piece and Composer * Name of the person who will attend the Master Classes with the student * Name of home teacher Interested in auditioning for the Honor's Recital? Note Reading Level: Enrichment Choice 1:* - Included with Institute Enrichment Choice 2:* - If scheduling does not allow 1st choice Additional Enrichment Class: - $60 Student T-shirt Size - Included with Institute: Additional Student T-shirt Size - $15: Additional BBQ Tickets - $10 each:

- OR - CLICK HERE TO FILL OUT THE TEACHER TRAINING SECTION

Class Book Do you need a Homestay? Trainee T-shirt Size - Included: Additional Trainee T-shirt Size - $15: Additional BBQ Tickets - $10 each: