Young Artist Program Registration (ages 13+)

After you have successfully submitted this form, a confirmation page will appear with instructions on how to complete your registration.

Young Artist Registration (advanced players ages 13+)

Student Name *

First

Last

Gender *

Male Female

Student Age on July 24, 2012(Young Artist Program is for teenagers 13 and Up) *

Instrument *

Current Suzuki Book *

Current working piece *

Activity Participation Options *

Registration Fee *

Parent Name *

First

Last

Parent Email *

Teacher Name and email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Emergency Contact Phone Number *

Does your child plan to perform on a student recital? *

Will he/she require an Institute accompanist? *

Estimated Recital Piece (composer and full title) *

First Choice Enrichment Class - Please see Enrichment Page for Descriptions *

Second Choice Enrichment Class *

I would like to order an Institute T-Shirt ($15). All proceeds will go towards our Institute Scholarship fund.

T Shirt? *

Please click here for the T-Shirt Sizing Guide

T-Shirt Size *

Would you like to order cafeteria lunches for the week? ($30/wk/per person) *

Please tell us about your child's previous chamber music and performance experiences. What repertoire has he/she previously worked on and what would they like to gain form this experience? *

Please tell us about what activities he/or she would enjoy and what type of special needs they may have musically, socially and environmentally. Are there any allergies or other conditions we should be aware of? *

Comments, Questions? *

Submit

If all required fields are not completed, the form will not submit and the Registration Form will refresh with a red box around incomplete items. A confirmation page will appear if you have submitted all of the information successfully. If you have technical problems, please contact us at PennsylvaniaSuzukiInstitute@gmail.com