Student Details
Given Name __________________________________________ Family Name ____________________________________
Date of Birth __________________________________ Parent's Surname _______________________________________
(if different to child's surname)
Mini Festival Program
(Please mark appropriate box)
Junior Suzuki
Standard Suzuki
Advanced Suzuki
Instrument
(Please mark appropriate box)
Violin
Viola
Cello*
Please complete extra section below
Flute
Guitar
Suzuki Teacher's Name _____________________________________________ Current Suzuki Book Level ____________
Current Piece (incl Mvt) ____________________________________________ Composer __________________________
Grand Annual Concert - Not attending
I will NOT be performing in the Grand Annual Concert on Sunday 31 August or attending Grand Annual
Concert rehearsals at Mini Festival
Please mark only if appropriate - if this box is not ticked we will assume you will be performing in the Grand
Annual Concert.
Please complete a separate student form for each child
Incomplete forms will be returned for completion.
Please complete all sections on the front of the form.
Member No:
*Standard Suzuki and Advanced Suzuki Cello Students only to complete
I WILL be performing in the Solo Cello Concert at Mini Festival. I wish to perform:
Piece _____________________________________________ Book ______________ Composer ______________________
I will NOT be performing in the Solo Cello Concert at Mini Festival - I will watch this session
Private Lessons with guest tutors
Private Lessons will be allocated in order of receipt of completed application forms (including payment).
Cello Private Lessons with Takao Mizushima Cost $62 for 30 minutes
I would like a 30 minute Cello private lesson between 9:00am & 12:00pm on Sunday 24 August.
Flute Private Lessons with Janne Frost Cost $62 for 30 minutes
I would like a 30 minute Flute private lesson (please indicate preference order 1 - 2 in the boxes)
between 12:00pm & 3:00pm on Saturday 23 August.
between 3:00pm & 6:00pm on Saturday 23 August.
Viola Private Lessons with Sachie Yuki Cost $62 for 30 minutes
I would like a 30 minute Viola private lesson between 9:00am & 12:00pm on Sunday 24 August.
Violin Private Lessons Cost $62 for 30 minutes
I would like a 30 minute private lesson with (please indicate preference order from 1 to 3 in the box)
Alison McAlpine between 12:00pm & 3:00pm on Saturday 23 August.
Alison McAlpine between 3:00pm & 6:00pm on Saturday 23 August.
Alison McAlpine or Sachie Yuki between 9:00am & 12:00pm on Sunday 24 August.
