Student Details
Given Name _______________________________________ Family Name ______________________________________________
Date of Birth ________________________ Parent's Surname________________________________ (if different to Child's Surname)
Program/Instrument
Instrument _________________________
Standard Suzuki
Young Beginners
Advanced
Sibling Program
Junior Sibling
Early Childhood
Voice (Baby)
Book Level, Reading Ability and Enrichment
(TO BE COMPLETED AND SIGNED BY YOUR TEACHER)
Current Suzuki Book Level ______________
Piece ______________________________________________________________
Teacher's Name ______________________________________ Teacher's Signature _____________________________________
Second Instrument
I wish to participate in tutorials on my 2nd instrument (timetable permitting). A levy of $26 applies.
(TO BE COMPLETED AND SIGNED BY YOUR TEACHER)
Instrument __________________________________________
Current Suzuki Book Level ______________
Piece _______________________________________________________________
Teacher's Name ______________________________________ Teacher's Signature ______________________________________
Incomplete or unsigned forms will be returned for completion.
Please complete all sections on the front of the form.
Please complete a separate student form for each child you are enrolling.
Member No:
Note Reading
Excellent - Confident, close to the level of current solo piece.
Good - Confident but one book level below current solo piece
Fair - Good, but hesitant
Beginner - Just started reading
None - Unable to read music
Private Lessons
I would like a 30 minute private lesson from a visiting tutor (Cost $52 Aust tutors
(Violin only),
$78 International tutors
(All Instruments)
)
My preferred tutors are: 1.____________________________________ 2. ___________________________________________
Private Lessons will be allocated in order of receipt of completed application forms.
If my preferred tutor is not available, I would like a lesson from another visiting tutor: YES
NO
The majority of Private Lessons will take place on Monday 11 and Tuesday 12 April.
I am available to have my Private Lesson on Monday 11 April
YES
NO
I am available to have my Private Lesson on Tuesday 12 April
YES
NO
Have you completed all sections of this form?
Remember, incomplete forms and forms not signed by teachers will be returned.
Need more copies of this form? Ask your teacher or download one from www.suzukimusic.org.au.
Enrichment - Standard Suzuki Program
Please check the brochure for details of classes. If you are
eligible for a reading-based class, please indicate your
preference for reading or general class :
Reading-based
General
