Enrollment Form - Buffalo Suzuki Strings

Please fill out the enrollment form below or Click here for printable PDF:BSS Student Application

Welcome to Buffalo Suzuki Strings! We are looking forward to meeting and teaching you and your child. Once your form has been submitted, you will receive a call from our Buffalo Suzuki Strings office to complete the enrollment process. On your first bill, there will be a one time (per family) registration fee of $30.00

Student's Name *

First

Last

Student's Birthday – Month

Student's Birthday – Day

Age *

Gender

Parent *

First

Last

Parent *

First

Last

Address *

Best Phone Number For Main Contact *

Best Email For Updates *

Where Did You Hear About Buffalo Suzuki Strings? *

Parent's Place of Employment and Occupation *

Parent's Place of Employment and Occupation

Parent's Cell *

Parent's Cell

Parent's Work Phone *

Parent's Work Phone

Additional Parent Email

School the Child Attends *

Please list sibling names and ages

Has your Child Every Studied an Instrument Before? (If So, please explain in details, what instrument, how long, name of teacher, level achieved)

Are there any musicians in the family? Please explain.

Are there any medical, severe allergies or emotional conditions that the teacher should be aware of? *

Please use this space to write any other information that may help us get to know your child or that you might think would be helpful.

Name