Little Star Registration - CAHN SUZUKI STUDIO

CAHN SUZUKI STUDIO

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PLEASE SUBMIT FORM AND PAYMENT TO REGISTER

1. Little Star Violin Registration Form

* Indicates required field

Parent Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Student Name *

First

Last

Birthday *

Will a sibling attend? *

Yes No

If yes, what age: *

Class Preference *

Tuesday 4:00PM Wednesday 10:00AM Thursday 4:00PM

Please check all possibilities:

If time preferred is not available, please specify: *

How did you hear about this site? *

Internet Search Advertisement Friend (please specify below) Email Listserve Other

If friend or other, please specify: *

Submit

2. Payment

$

180.00

6-week violin class tuition.

Includes $30 materials fee.

Cahn Suzuki Studio * lwcahn@gmail.com * 703.853.8888 * Alexandria, Virginia