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Summer Camp Registration Form |
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SIUE SUZUKI STRING SUMMER CAMP Registration Form MAIL ALL of the following: 1. Registration Form AND CHECK 2. Health Form Mail to: Vicki Lottes, String Camp Director SIUE Suzuki String Program, Box 1771 SIUE, Edwardsville, IL 62026 Phone: 618-650-2839 Fax: 618-650-5988
Student Name ____________________________________ Age ________________ Grade Entering in Sept of 08 _______ Street. City, State, Zip ______________________________ Home Phone _________Work Phone ______________ Email ___________________________________________ Accompanying Adult Name _______________ Instrument ___________Teacher __________
SUZUKI STUDENTS: Current Piece ________________ Book ________________ Indicate Music Reading Level: o Music And Movement (non-readers through age 6) o Beginning Reader (class will drill the basics without instruments) o Early/Intermediate Reader (can read all pitches on instrument and basic rhythm pattern. This will be an orchestra reading in D and G Major.) o Chamber Music (late intermediate reader and up – can read in all key signatures, can read rhythms solidly, has participated in orchestras, at least Suzuki Volume 4 level) _____________ Name of Orchestra I have participated in this year
PUBLIC SCHOOL STUDENTS: Current Method Book _________________ Years studied_______
School ____________________ Teacher ____________________ COSTS: ___Student registration if received by June 1........... $135 ___Optional individual 20-minute lessons .... ............ $45 Circle One Time 8:30 – 9:30 am OR 2:15 – 3:15 pm ........ ............ Tues & Thurs. or Wed & Fri ___OPTIONAL ART CLASS (T,W,TH).. ............ ............ $35 ____Parking hook (for Lot E, behind Dunham Hall) (one week) $5
Fees: Make checks payable to the SIUE String Camp and include with form. Mail to above address. No refunds after June 24.
Parking Hook Info - Name of Parent ___________________ Make of Car _________ Color ________________ Lic. Plate _________________........ State ________
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