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School of Music
NC Suzuki Institute @ ECU: Registration Form


NORTH CAROLINA SUZUKI INSTITUTE REGISTRATION FORM
Student Institute, July 8 - 13, 2012
Teacher Development Courses, July 6 - 13, 2012
Pre-Twinkle Day Camp (9-12pm), July 7 and 8, 2012
Every Child Can!, July 5, 2012
Please fill out a separate form for each participant!

Enrollment is limited. Early application is encouraged.
QUESTIONS?  Call 252-328-4281 or e-mail us at suzuki@ecu.edu.

 
   
   
Use two letter abbreviation (example: NC for North Carolina)

   
   
All students under the age of 13 must be accompanied by a parent or another adult who will assume responsibility for the participating child. Please choose the appropriate option
If you checked "Parent(s) will attend" above, please include name of adult attending with child here.

   
   
   
   
Please list your student’s placement accurately as of today’s date. Do not anticipate where the student will be working by July.

   
   
If Yes, please briefly list the repertoire learned or other details about the students experience in the space below.
Fill this in only if you answered "Yes" above.

   
(non-refundable, 1 fee per student)
   
   
   
   
   

   
   
   
Please check the additional classes in which you wish to participate ($50 per class).
   
   
Lodging for 8 nights (July 6-13) Meal plans start with dinner July 6 and end with dinner July 13.
   
   
Lodging for 6 nights (July 8-13) Meal plans start with dinner July 8 and end with dinner July 13.
Please list all family members who wish to stay together.

   

Adult Meal Plan $150 (age 10 and above)

Child Meal Plan $115 (age 9 and younger)


   
One per family

   
   
   
   
   
   
Please indicate quantity


In this box, place the total dollar ($) amount due based on your selections in this form (add up the registration fee, tuition, housing and meals, parking, and place that total in this box). Please print this form for your records BEFORE you click the "submit" button below. After pressing Submit below, you will get a message about where to send payment.