Kauswagan Registration - Individual Students

1
Hello! What are you signing up for?* This field is required.
Individual student
Individual student graduating in more than one book in the same instrument
2
What's your name?* This field is required.
First Name
Middle Name
Last Name
3
What's your email address?* This field is required.
example@example.com
4
And your phone number?* This field is required.
Please enter a valid phone number.
5
How old are you?* This field is required.
6
What's your teacher's name?* This field is required.
7
What is your instrument?* This field is required.
Piano
Violin
Guitar
Cello
8
Book graduated from* This field is required.
BOOK 1
BOOK 2
BOOK 3
BOOK 4
BOOK 5
BOOK 6
BOOK 7
BOOK 8
BOOK 9
BOOK 10
9
Upload PSA Graduation Evaluation Form
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
10
Upload 2nd PSA Graduation Evaluation Form
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Please upload your 2x2 ID photo
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
12
I hereby grant the Philippine Suzuki Association, its directors, officers, employees, agents, and designees (collectively“PSA”) non-revocable permission to capture my image and likeness in photographs, videotapes, motion pictures, recordings, or any other media (collectively “Images”). I acknowledge that PSA will own such Images and further grant the PSA permission to copyright, display, publish, distribute, use, modify, print and reprint such Images in any manner whatsoever related to PSA business, including without limitation, publications, advertisements, brochures, web site images, or other electronic displays and transmissions thereof. I further waive any right to inspect or approve the use of the Image by the PSA prior to its use. I forever release and hold the PSA harmless from any and all liability arising out of the use of the Images in any manner or media whatsoever, and waive any and all claims and causes of action relating to use of the Images, including without limitation, claims for invasion of privacy rights or publicity.* This field is required.
I agreeI don't agree
13
Fee* This field is required.
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costPHP
Individual Student
2,000.00PHPEdit
Back
Total cost 0.00PHP
14
Please verify that you are human* This field is required.
Should be Empty: