2025 Student Piano Workshop

Suzuki Student Piano Workshop
with Keiko Kawamura
February 14, 15 & 16 2025
At the Piano Studio of Mei Ihara
321 N Deep Springs Road * Orange * California

STUDENT REGISTRATION
(College Students - use Teacher Registration Form)

Name*

First NameLast Name

Birthdate*

MM/DD/YYYY

Home Teacher's Name*

Accompanying Parent*

First NameLast Name

Accompanying Parent

First NameLast Name

Email*

example@example.com

Mobile Phone*

XXX-XXX-XXXX

Street Address*

City*

State*

Zipcode*

Is Your Teacher a SMAC MEMBER?*

Membership will be verified

Students will be assigned a day and time once registration is received. Please let us know below if you have any Scheduling Conflicts for February 14, 15 and 16:

I UNDERSTAND THAT PARTICIPATION IN THIS EVENT REQUIRES MY ACCEPTANCE OF OUR
Code of Conduct,
Photo & Video Release for Minors, and Photo & Video Release for Adults

By submitting this form, I am signing it electronically and I understand its contents, requirements and choices I have made herein.

WORKSHOP FEE *

Master Class Lesson$50.00

Enter coupon

Total $0.00

Registration DEADLINE is December 20, 2024

No Refunds after January 15, 2025

Questions? Contact Rae Kate Shen