Register for Beginner Suzuki Strings Camp

Parent Information

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Emergency Contacts

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Student Information

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First name Last name Date of Birth JanFebMarAprMayJunJulAugSepOctNovDec MM / DD / YYYY Instrument(s) How long has the student been studying? Private instructor (if applicable) What school do you attend Audition piece (if applicable) Current lesson book (if applicable) Sight reading proficiency 1 2 3 4 5 Scales proficiency 1 2 3 4 5 Chords proficiency 1 2 3 4 5 Any other musical experience? If we have multiple ensembles, do you have a sibling or friend you'd like to be placed with? If so, who? Any potential conflict dates? Does the student take any regular medications? Yes No If yes, what medication and time should we give it? Any notes on administering medication? Does the student take it themselves, or need to be reminded? Does the student have any allergies? If yes, please explain. Any additional notes regarding the student’s health?