LE Free Suzuki Violin Program

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Please Click Here to View Detailed Information Regarding the Free Lower Elementary Suzuki Violin Program.

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Student Name

First Name

Last Name

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Student Age

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Room Number

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Please complete the following information about Custodial Parents.

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Parent/Guardian #1

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Parent/Guardian #2:

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Please List Any Allergies/Medical Conditions Which the Club Instructor Should Be Aware Of:

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I agree to purchase/rent a violin for this class and pay for a book, CD and shoulder rest. A minimum of 10 minutes of practice for 3 days per week is required.

YESNO

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I have enclosed a payment of $17 (for the first method book and CD), payable to Montessori Academy.

YESNO

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Parent/Guardian Signature:

Clear