Autumn Festival 2010
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Student Enrolment Form
Teacher Enrolment Form
Section A: Teacher Details for Professional Development
Given Name*
Family Name*
Membership No.*
(Non members must contact the Suzuki Music office to take up new membership. Interstate teachers please write State and memb number eg NSW 1000)
Instrument 1*
Please select Instrumen
Cello
Flute
Guitar
Piano
Viola
Violin
Voice
Instrument 2
(if applicable)
Please select Instrumen
Cello
Flute
Guitar
Piano
Viola
Violin
Voice
Accreditation Level*
If other, please state level
Please select or state if other
Trainee
Primary
Intermediate
Advanced
Teacher Trainer
Address*
Suburb*
State*
Country (If not Australia)
Postcode*
Home Phone*
Mobile Phone
Email*
Sub total for Section A
Teacher Registration : $410.00 (includes lunch)