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
Current Suzuki Book Level ____________ Current Piece (incl Mvt) ____________________________________________
Teacher's Name _____________________________________ Teacher's Signature ________________________________
Grand Annual Concert Involvement
I will NOT be performing in the Grand Annual Concert on Sunday 9 September 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.
If you wish to apply to participate in only the Grand Annual Concert (not Mini Festival), please use separate
application form in Suzuki Notes, Winter edition.
Please complete a separate student form for each child
Incomplete or unsigned 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
Violin and Viola Private Lessons with guest tutors
Private Lessons will be allocated in order of receipt of completed application forms (including fees).
I would like a 30 minute private lesson from
a visiting tutor - Please complete Private Lesson
lesson time preferences. Cost $56
Private Lesson Time preference
Please number ALL boxes below in order of
preference (1 - 3). Please note that you will be
allocated a lesson based on these preferences.
Please ensure that you have completed private lesson payment details on page 1.
Saturday
25 August
Preference
(1 - 3)
Sunday
26 August
Preference
(1 - 3)
12 - 3pm
9am - 12pm
3 - 6pm
Cello Private Lessons with guest tutors
Private Lessons will be allocated in order of receipt of completed application forms (including fees).
I would like a 30 minute private lesson with Takao Mizushima between 9:00am and 12:00pm on Sunday
26 August. Cost $56
