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Suzuki - Family Application Form (Page 2)

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Suzuki - Family Application Form
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
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 and Reading Ability
(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 $22 applies.
Instrument ___________________________________________
Teacher ______________________________________________
Suzuki Book Level _________ Piece ______________________
Incomplete or unsigned forms will be returned for completion. Please complete all sections on the front of the form.
Private Lessons
I would like a 30 minute private lesson (Cost $48 Aust tutors, $72
International tutors)
My preferred tutors are: 1._________________________________
2._________________________________
Member No:
Member No:
Incomplete or unsigned forms will be returned for completion. Please complete all sections on the front of the form.
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
Student Details
Given Name __________________________________ Family Name __________________________________ Date of Birth _________________
Parent's Surname________________________________
(if different to Child's Surname)
Book Level and Reading Ability
(TO BE COMPLETED AND SIGNED BY YOUR TEACHER)
Current Suzuki Book Level ___________
Piece _______________________________________________
Teacher's Name ______________________________________
Teacher's Signature
____________________________________
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
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
Second Instrument
I wish to participate in tutorials on my 2nd instrument (timetable
permitting). A levy of $22 applies.
Instrument ___________________________________________
Teacher ______________________________________________
Suzuki Book Level _________ Piece ______________________
Private Lessons
I would like a 30 minute private lesson (Cost $48 Aust tutors, $72
International tutors)
My preferred tutors are: 1._________________________________
2. ________________________________
Program/Instrument
Instrument
_________________________
Standard Suzuki
Young Beginners
Advanced
Sibling Program
Junior Sibling
Early Childhood Voice (Baby)

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Other Documents:
Grad Concert 2004 Poster, Grad Concert App 2004, PD 14 March 2004, PDApplication Form, PD Calendar 2004, Piano Pulse Workshop, Auditionform 2005 PDF 001, Teacher Trainee Membership 2004, Volunteering with Suzuki Music, 147174 Swift, 147177 Grand Vitara, 147179 Liana, jobs, 2002 bandit, 2002 dl 1000 all, 2002 gs 500, 2002 lc, 2002 ltz 400, 2002 oil chemicals, 2002 ozark, 2002 racer apparel, 2002 style performance, 2002 sv 650, 2002 tl 1000, 2002 vl, gdsch 03, frm mx 03, bro gsx 1000, app, 2002 gsxr, 2002 hayabusa, 100 Gas Card Promo, Suzuki Entry, Good Scholar Form, MXCB 04 Form, OFFROAD 04 Form, frm mx, frm mx 01, frm offrd, bro kingquad, bro qu 160, bro int 800, bro mar 800, bro sav 650, bro dr 200, bro tl 1000s, bro gsx 600, bro gsx 750, bro qu 400, bro qu 400f,


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