2025 Early Childhood Education Registration Form

REGISTRATION IS NOT COMPLETE UNTIL ONLINE APPLICATION AND CLASS FEE HAVE BEEN RECEIVED.

Applications and fees are on a per student basis.

Please Note: The Suzuki Early Childhood Education class is independent of the main institute program. Basic program package fees do not apply when registering for this class. Student must be under four years of age at the start date of this class. Parent or guardian attendence is mandatory.

Student Information

Student's Name*

First NameLast Name

Birth Date*

MonthDayYear

Gender*

MaleFemale

Attending Parent/Guardian Information

EACH student attending this class is required to have a participating parent/guardian.

Name*

First NameLast Name

Home Number*

Area CodePhone Number

Cell Number

Area CodePhone Number

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Informed Consent and Acknowledgement

In submitting this form I hereby give my approval for my child’s participation in any and all activities prepared by San Diego Suzuki Institute during the selected camp. In exchange for the acceptance of said child’s candidacy by San Diego Suzuki Institute. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless San Diego Suzuki Institute and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against San Diego Suzuki Institute. Including all teachers and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.

I have read and agree to the SDSI waiver.*

Yes

Photograph and Video Release

In submitting this registration form I give San Diego Suzuki Institute permission to publish in print, electronic, or video format the likeness or image of my child. I release all claims against San Diego Suzuki Institute with respect to copyright ownership and publication including any claim for compensation related to use of the materials.

I have read and agree to the SDSI photo/video release.*

Yes

Refund Policy

In submitting this registration form I am agreeing to San Diego Suzuki Institute's refund policy. All student registration fees are non-refundable.

In the event that you decide to cancel your registration, notify the San Diego Suzuki Institute in writing. There is a $100 non-refundable cancellation fee per participant. The payment of all other fees will be returned if email or postal notice of cancellation is received by June 15.

Due to commitments to faculty and travel plans, applicants who withdraw June 16-30 receive a 50% refund of fees (less the $100 non-refundable cancellation fee per participant). Withdrawal July 1 and after forfeit all fees.

If enrollment is full or a teacher-training course is canceled, all registration and course fees will be refunded.

I have read and agree to the SDSI refund policy.*

Yes

My Products*

SECE Class$95.00

Total $0.00

Credit Card

Please verify that you are human*

Confirmation

BY ACKNOWLEDGING AND SUBMITTING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Suzuki Early Childhood Education Registration

Credit Card