Clone of 2025 - 2026 SMPLA Annual Registration Form

This SECOND SEMESTER Registration form is for the SMPLA “Suzuki Ensembles” program 2025-2026 season.

SUZUKI ENSEMBLES Program:
♥ Violin, Guitar, Cello, Viola, Bass – All ages and abilities are invited.
♥ “Open Door” policy – all students are welcome, regardless of which private teacher they
study with.
♥ Repertoire: Classical music (Bach, etc.), Movie Tunes, Fiddle, World Music, and
special arrangements of Suzuki repertoire.
♥ Three Rehearsal Workshops and One Concert

Rehearsal Workshops: April 6th and 20th, May 11th (Mondays, 5:45 – 7:10 pm)

Concert: May 18th

PLEASE SUBMIT ONE FORM PER STUDENT.

SMPLA CORE ACTIVITIES include: Rehearsal Workshops, Spring Solo Recital, Public Performances (Senior Living Center, Parks, etc., Parent Support Forums, and other musical opportunities)

Please mark your calendars for a special off-site event. Registration coming soon!

Saturday, April 25th – Senior Living Center
(in the San Fernando Valley area)

Student Name

First NameLast Name

Gender

Birthday

MM/DD/YYYY

Parent 1 Name

First NameLast Name

Parent Email

example@example.com

Parent 2 Name (optional)

First NameLast Name

Additional Email (optional)

example@example.com

Primary Mobile Phone

XXX-XX-XXXX

Secondary Mobile Phone

XXX-XX-XXXX

Street Address

City

Zip Code

Is your teacher a member of SMAC?

SMAC Teacher

Name of Teacher

First NameLast Name

TEACHER Email

example@example.com

Primary Mobile Phone

XXX-XX-XXXX

Instrument

Most Recent Book / Piece being learned

Questions/Comments

Please review the 'Photo & Video Release for Minors' agreement, then make a selection below.

Photo & Video Release for Minors Photo & Video Release Denied

Please select:

You are required to read the following information carefully and make sure that you understand it fully and agree to it before allowing your child(ren) to participate in this activity or program.

Code of Conduct Liability & Medical Waiver

Please indicate your understanding and acceptance.

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SMPLA Suzuki Ensembles, April-May 2026. $124.20 (prorated). Three Workshop Rehearsals, One Concert during the second semester session of the 2025-2026 season.

SMPLA Suzuki Ensembles, April-May 2026. $124.20 (prorated)$124.20

Three Workshop Rehearsals, One Concert during the second semester session of the 2025-2026 season.

SMPLA Red Tie$16.05

For Public Performances & Concerts

SMPLA T-Shirt!$19.16

SMPLA T-Shirt

CHECK THE BOX ABOVE and then select size hereSize

SMPLA Parent Education Seminar "Motivate and Mentor" $57.50

PARENT Education Seminar four-week Seminar will be held virtually in the Spring of 2026.

I love SMPLA and want to support Music Education (choose donation amount below). This is a tax-deductible donation to SMAC, a 501(c)(3) non-profit organization. My donation will be directed to support SMPLA music education. CHECK the box above and select your amount below. Please choose a donation amount.

I love SMPLA and want to support Music Education (choose donation amount below)Free

This is a tax-deductible donation to SMAC, a 501(c)(3) non-profit organization. My donation will be directed to support SMPLA music education. CHECK the box above and select your amount below. Please choose a donation amount.

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