Eugene Suzuki Music Academy | ECE Registration

Eugene Suzuki Music Academy

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ECE Registration

The Eugene Suzuki Music Academy registration form is available for download (Early Childhood Registration Form). Please either fill out our online form below, or send the form to:

Eugene Suzuki Music Academy
170 W. 12th St.
Eugene, OR 97401

Before sending your registration, please read the studio policy.

* Student Name

* Student Age

Parent/Guardian Names

* Email

* Mailing Address

* Zip Code

* Home Phone

Cell Phone

Work Phone

* Payment Options Three Months (full term) - $150
One month - $50

One Time Materials Fee $20

* Class Times Tuesday 10:00-11:00am
Saturday 11:00am - 12:00pm

Payment Type Cash/Check
Credit Card

Paperless I would like my future transactions and confirmations to be paperless - Please email me important information.

Policy I have read, understand and agree to the Eugene Suzuki Music Academy's Studio Policy *

I give my permission for photographs and videos taken of my children and/or members of my family, to be shown or used in educational and promotional material used in connection with Eugene Suzuki Music Academy.

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