| STUDENT Name |
|
| Surname |
|
| Address |
|
| City |
|
| Prov/State |
(2 letter abbreviation) |
| Postal/ZIP |
|
| Country |
|
| Phone |
NOTE: please enter like 999-222-4444
Otherwise, we have to re-type it manually. :-( |
| E-mail (input carefully) |
|
| Gender |
|
| Age (on August 1, 2012) |
|
| INSTRUMENT |
|
| NEWEST SUZUKI PIECE (Book & Title/Mvt.) |
|
| Parent |
Name
Surname
|
Other Parent/Chaperone attending the Institute
|
Name
Surname
|
| Do you have more than one student registered? |
|
| OK for private lessons with different teachers at same hour? |
|
List of siblings that are registered:
Name(s)/Surname(s) |
|
| 2. YOUR HOME TEACHER |
|
| Teacher |
Name
Surname
|
| Address |
|
| City |
|
| Prov/State (2 letter abbreviation) |
|
| Postal/ZIP |
|
| Country |
|
| Phone |
NOTE: please enter like 999-222-4444 |
| Teacher E-mail |
|
| 3. READING LEVEL |
|
| Plays in an orchestra or chamber ensemble? |
|
| If yes, give an example of orchestral or chamber music played recently (composer/title) |
|
| 4. IMPORTANT INFORMATION |
|
| I’m a violinist who is willing to play VIOLA in orchestra. |
|
| I will bring my own viola. |
|
| I need to rent a viola ($10 CDN or USD for the week in the following size: |
|
| I CAN BE A VOLUNTEER DURING THE INSTITUTE |
|
| Volunteer Name |
|
| I can help with:
|
Other
|
| Photos of my child may be used for publicity including the website. |
|
| LIABILITY (Registration cannot be completed without your agreement to accept liability.) |
IMPORTANT! By registering my child for this institute, it is understood and agreed that SOSI Inc. bears no liability while my child attends SOSI. I take full responsibility for my child and his or her activities during SOSI.
I AGREE TO THE ABOVE.
|
| 5. SOLO RECITAL INFORMATION |
|
| I would like to perform in a solo recital. |
|
| I require a piano accompanist for my solo piece. |
A rehearsal with an accompanist will be scheduled only if you are performing an accompanied piece in a solo recital. Please supply the piano accompaniment in advance if the music is not in the Suzuki books. |
| Piece to be performed (polished, preferably played previously in a recital): |
Composer
Title/movement
Suzuki Book (if applicable)
|
| 6. CHOOSE ONE OF THESE PROGRAMS:
|
(YAP applicants—please use YAP Application Form) |
| 7. OPTIONAL CLASSES (you may choose only ONE) |
|
| Operetta |
(you may choose operetta as your only option, or as a special option in addition to one of the above regular Daily Options) |
Special Seminar:
The Alexander Technique |
Seminar
Private Lessons |
| 8. FOR THE ADULTS |
Private Lessons for Adults
Cello Group Lessons for Adults |
| 9. REGISTRATION FEE (per family) |
Determined by date that you submit this application.
By May 1, 2012: $40 CDN or USD; After May 1, 2012: $80 CDN or USD |
| 10. TAX-DEDUCTIBLE DONATIONS |
I would like to contribute to the
SOSI Bursary Fund... $
SOSI Endowment Fund... $
|
| 11. SOSI MEMBERSHIP (join or renew) |
I would like to be a 2012–13 member of SOSI ($10 CDN or USD)
My name
|
12. PREPAID DAYCARE
(SAVE UP TO 40% vs. walk-in service) |
By the hour
Number of hours
5 Full Days
5 Half Days |
FINALLY...
When your information is complete, please click SUBMIT below.
WARNING: If you click Completely RESET this Form, all your entries will be erased. |
We will contact you to confirm your application and the amount due.
Please mail a cheque for the amount due.
Cheques are payable to: SOSI
If you have any questions about fees, please contact:
Tracy Jewell, administrative coordinator
Speedvale Postal Outlet
P.O. Box 26058
Guelph, ON N1E 6W1
CANADA
Phone 519-824-7609
E-mail sosi@artset.net |
