BSS Summer Workshop August 12 - 16, 2019 Suzuki Program
Fill out the form below and return it with the student information form and full payment to:
Buffalo Suzuki Strings, 4 Webster St., N. Tonawanda, NY 14120
Deadline for registration: June 30, 2019 Applications received after this date will be accepted based on
availability.
Early registration bonus: Sign up before May 31 and receive a discount!
No refunds after July 15.
A workshop T-shirt is included for everyone: please circle a size.
Youth XS S M L Adult S M L XL
Payment (circle): check cash credit card
Amount: $____________ Zip Code: ____________
CC# ___________________________________________
Expiration _______________ Security code ___________
Signature________________________________________
Please fill out this form in its entirety and return it with your full payment. No refunds after June 15.
One student per form.
STUDENT INFORMATION
Name: ______________________________________ Age: ________
Address: _________________________________________________
Parent(s) Names: __________________________________________
Phone: ___________________ E-mail: _________________________
Instrument: _______________ Teacher: ________________________
SUZUKI PROGRAM INFORMATION Please complete to ensure proper class placement.
Most polished piece: ____________________ Suzuki Vol. No. ______
Current piece: _________________________ Suzuki Vol. No. ______
Reads music? _________ Examples: ___________________________
What orchestras or ensembles does the student participate in?
_________________________________________________________
Class Tuition
Discount tuition, prior
to May 31 Amount Paid
Introduction to the Suzuki Method (2 hrs) $225 $200 $____________
Suzuki Program, books 1-5 (3 hrs) For students playing Violin, Viola, Cello, Piano & Classical Guitar $325 $300 $____________