SUSPENDED FORM

Name

Email

Phone

Address

Teacher Training Offerings

Institute Observation (Observation is included for Cello Overview and Violin Practicum attendees)

Would you like to purchase an institute T-Shirt?

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Housing and Meal Plans

Room and Board
Check-in: Sunday 8/6-Checkout:Thursday 8/10

Adult Single $550+$135 deposit‎ Adult Double $475+ $135 deposit‎

Would you like to purchase ADDITIONAL nights before or after the institute?

Would you like to purchase a commuter lunch plan? $60 for lunch Mon-Thurs (already INCLUDED with housing room and board package)

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Would you like to purchase a commuter dinner plan? $80 for dinner Mon-Thurs (already INCLUDED with housing room and board package)

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Food allergies and dietary restrictions

Please specity other food allergy or dietary restriction

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Summary and Payment

Payment: Payment must be completed during registration for your child to be registered and must be paid before the early bird deadline (April 1, 2017) or regular deadline (July 1, 2017) to receive early bird or regular tuition rates. Please email us at asi@suzukinorcal.org if you need help using PayPal. PayPal will accept your credit card, debit card and electronic checks. An account is not necessary. If you must pay by paper check, complete form on your computer, print, then send competed form to the contact below. Do not print out a blank form to complete. Make checks payable to SMAC-SANC. Email asi@suzukinorcal.org for mailing address. There is a $35 charge for returned checks.

Refunds: If you decide to cancel your registration, notify the ASI Admin Office in writing. Prior to May 1, 2017, there is a $150 non-refundable cancellation fee per participant. Due to faculty and travel commitments, applicants who cancel after May 1, 2017 forfeit all fees (including room & board).

Solo and Chamber Music Audition recordings: If not submitted with this application, they must be submitted no later than June 1, 2017.

I have read and understand the above payment and refund information.

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I agree to the Video and Photo Release

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