suzuki class registration form

Registration Form for Suzuki Violin Class Schwob School of Music Prep Division Elizabeth Hostetter, Director and Instructor Name of Student_____________________________ Birth Date_________________________ Name of Parent or Guardian _______________________________ Address________________________________________________ Home Phone _______________Cell phone _______________ Email:___________________

Check the line appropriate for you _____Beginners and Twinklers $450.00 for the semester _____Book 1 -2 class $525.00 _____registration fee $25.00 Total________ Payment: By check made out to Columbus State University or by credit card online at http://musicprep.columbusstate.edu ___check if you are paying for the whole semester ___ check if you prefer to make 4 installments of _____ (divide Total by 4) The first payment is due at registration, each additional payment due on the 15th of each month.

Please fill out this form and mail to Columbus State University - THANK YOU!!     Attn: Elizabeth Hostetter Preparatory Division 900 Broadway Columbus, GA 31901 706-641-5124/Office