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The Great Lakes Suzuki Flute and
Recorder Institute
Registration Form 2011
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Name: |
___________________________________________ |
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Address (Street, City): |
___________________________________________ |
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Province/State and Postal Code: |
___________________________________________ |
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Phone Number: |
___________________________________________ |
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E-mail: |
___________________________________________ |
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*If registering as a student
participant, please provide the following information |
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Accompanying Parent's Name: |
___________________________________________ |
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Age as of July 1, 2011 |
___________________________________________ |
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Book Level and Home Teacher |
___________________________________________ |
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*If registering as a teacher
participant, please provide the following information: |
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Video Status: |
___________________________________________ |
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Book levels previously studied: |
___________________________________________ |
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Course level you wish to study: |
___________________________________________ |
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Fees (please circle the fees that
apply): |
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Registration (per family/registrant) |
$40 CDN |
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Late registration (after 6-1) |
$50 CDN |
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Student Tuition |
$250 CDN |
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Each additional child |
$200 CDN |
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Teacher Workshop
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$520 CDN (Book 1)
$375 CDN (all other books)
$145 CDN ECC course |
All fees are
non-refundable after June 30, 2011
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Please mail form and payment to: |
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Great Lakes
Institute
129 Locke Street South
Hamilton, Ontario
Canada L8P 4A7
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