2022-23 Electives

2022 - 2023 Dalcroze Registration
Student's Name *

First Name Last Name
Primary Parent's Name *

First Name Last Name
Primary Parent's Mobile Number *
Must be able to receive text messages.
Primary Parent's Email *
example@example.com
If student doesn't have email, please enter the parent's email below. This will be used for direct communication from teachers about classes and course material pertaining to to the student.
Student Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Does the financially responsible party have an address different than the one above? *

Yes No
Address of Financially Responsible Party *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Academic School *
Grade in the school year 2022-2023 *
Students Date of Birth *

Month Day Year
Date
Secondary Parent's Mobile Number
Must be able to receive text messages.
Secondary Parent's Name

First Name Last Name
Secondary Parent's Email
example@example.com
Primary Parent's Occupation
Secondary Parent's Occupation
Please remember that it is your responsibility to communicate any phone number/email/address changes with the school.

Dalcroze Information

Please note: There is a $28 Dalcroze materials fee for all students. This covers classroom supplies for Eurhythmics and books for Rhythmic Solfege and Advanced classes. If you are enrolling in Dalcroze, this fee will be reflected in your final registration total.
Do you need to purchase a Metallophone ($35) for Dalcroze class? *Required for new students. *

No Yes
Do you need to purchase Dalcroze materials ($28)? *Required for new and returning students. *

No Yes
Which Dalcroze class will you be in this year? *

Annual Registration Fee

Registration for this student is not complete until the family has paid the Annual Registration Fee of $50. This fee is paid every year.
Have you already paid your Annual Family Registration Fee? *

Yes No

Overdue Invoice Policy
Any family owing more than $150 for more than 60 days will have an automatic hold placed on all lessons until payment is current, or until a written payment plan is agreed upon with the director.
*

Tuition Information
For Payment plans: a detailed invoice will be sent to you before your first class.

If entering mid-term, fees will be pro-rated. Please contact Karen Meador in the office for the pro-rated tuition amount. (karen.meador@suzukimusicdallas.org)
Payment Frequency *

One Payment Two Payments
You can find our ACH Automatic Payment Program form at:
https://docs.google.com/document/d/1kmjG3NPXub_wowUz8aCMBfsW00CMha4TfSil2AlCsBc/edit?usp=sharing

Please print and bring to front desk. Copies are also available to pick up at the front desk.

If you would like to use the same ACH information as last year, please contact Karen Meader (karen.meador@suzukimusicdallas.org) and give her permission to do so.

Would you like to buy SMID apparel? If so, please check the appropriate boxes below! Check size availability below before selecting and then let us know your size when you come to pick up your purchase.

T-shirts are available in
Adult: S/M/L
Youth:6-8, 10-12, 14-16

Long Sleeved Shirts are available in
Adult: S/M/L

Youth Fleeces are available in
XS/S/M/L

Adult fleeces are available in
Women: S/M/L
Mens: S/M/L

Please make your selection below.
Please make your selection below...

T-Shirt (Tri-blend Blue) - $22 Long Sleeved (Tri-blend Black) - $28 Youth Fleece (Navy) - $30 Women's Performance Fleece (Grey) - $45 Men's Performance Fleece (Navy) - $45

By hitting "submit" you understand that this registration is your commitment to the ENTIRE Suzuki Music Institute of Dallas school year (or remainder of the school year if you are starting after the first day of classes). You understand that you are responsible for all fees and tuition that you have indicated in the above Payment Agreement. You understand that all tuition and registration fees are non-refundable. Your registration is your commitment to the full year of lessons. The place in your teacher's studio is reserved only for your student for the entire school year. Non-completion of the school year does not relieve your family of your financial obligation for the full year based on when you started. You have read and understand the policies of the Suzuki Music Institute of Dallas and the Financial Responsibility of Registrants.

Please proceed to payment after submission. Registration will not be processed unless yearly fees are paid.
Total Costs, Hidden
Your Registration Total

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2022 - 2023 Dalcroze Registration