PA Suzuki Teacher Training Registration Form 2025

Name*

1-First Name1-Last Name

Age (On July 1, 2025)*

Phone Number*

Area CodePhone Number

Emergency Contact Number during Institute week

Area CodePhone Number

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Does the participant have any allergies or medical conditions that we should be made aware? If yes, please give details.

Registration Fee Determined by date you submit this form and we receive your payment. *

Course I am registering for*

Will you be attending in-person or online*

In person at Moravian UniversityOnline

Would you like to order any adult cafeteria lunches?*

Dorm Room (if applicable)

Will you be staying at the Comfort Suites or Hyatt Place?

YesNo

1 Free T-Shirt for each participant. Please pick a Size

Adult SAdult MAdult LAdult XL

Total Amount Due (Includes 3% credit card transaction fee)

*Please note that registration is NOT complete until payment is received

Questions, Comments

By pushing submit I hereby acknowledge that the information provided above is true and correct to the best of my knowledge. I also give the Institute photographer permission to take photographs of myself or anyone else attending the Institute with me for use on website/postcard and SAA

Cancellation Policy:

100% refund (except Registration Fee and credit card transaction fee) if requested four or more weeks prior to the first day of class
50% refund (except Registration Fee and credit card transaction fee) if requested less than four weeks, up to one week prior to the first day of class
No refunds if requested one week prior to the first day of class
Full refunds will be issued if course is cancelled by Institute (except credit card transaction fee)