Nan Freeman 2026-2027 Academic Year Reg

Academic Year Registration Form 2026-2027 for Nan Freeman's Studio

Please fill in the form below completely. If you have questions please email hickorysuzukischool@gmail.com.
Suzuki School of the Arts is a 501 (C) 3 non profit organization that does not discriminate on any basis including race, gender, creed, national or ethnic origin, disability, or socioeconomic status.
Student Name

First NameLast Name
Parent Name only if student is younger than 18

PrefixFirst NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
Student Age
Student Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student School and Grade Level
Lesson information
Student Instrument
Violin/Viola/Cello
Lesson Length
Preferred Lesson Time 1
ex Monday at 7pm
Preferred Lesson Time 2
ex Tuesday at 4pm
Preferred Lesson Time 3
ex Friday at 5pm
Lesson Schedules will be made on a first come basis. Teachers will contact students before classes begin.
Is there anything we should know?
Participation Agreement
Photo Release I understand that the Suzuki School of the Arts may photograph and/or videotape any SSA function or event which my family attends.
Additional Information

This gives us information about our community for recruiting members of our Board of Directors and grant information.
Mother Name

First NameLast Name
Mother Occupation
Mother Work Phone

Area CodePhone Number
Father Name

First NameLast Name
Father Occupation
Father Work Phone

Area CodePhone Number
Any additional information we need to know?
Payment information

Payment is due before the first lesson, please email hickorysuzukischool@gmail.com if you have questions about tuition prices.
Name of Person Financially responsible for lessons

First NameLast Name
Phone number if different from above

Area CodePhone Number
Email if different from above
example@example.com
Payment options
Choose one please
Payment method
Please choose one;
An invoice with your individual bill will be sent to you within 2 weeks.

Checks should be made out to SSA and sent to PO Box 3589, Hickory, NC 28603. Suzuki School accepts credit cards through PayPal and you will receive an email invoice including a 3% processing fee.
Registration Fee
Financial Agreement
Agreeing to the provisions of this Enrollment Contract constitutes a legally binding agreement between you and Suzuki School of the Arts.
Signature
I would like to make a tax-deductible donation to help provide scholarships and other needed items not covered through tuition.
Amount of donation: $
Please send check to SSA, PO Box 3589, Hickory, NC 28603
Should be Empty:

Academic Year Registration Form 2026-2027 for Nan Freeman's Studio

Lesson information

Additional Information

Payment information