New for 2008
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Green Mountain Suzuki Institute On-Line Registration Form
Please fill in all relevant information in the form below.

Please note that we are not able to accept payment on-line at this time.

Your registration is not complete until you mail your registration deposit check of at least $75 per student (made out to Green Mountain Suzuki Institute) to:

Green Mountain Suzuki Institute
400 Dog Team Road
New Haven, VT 05472

Final payments are due no later than June 1, 2008.

PLEASE NOTE: we have an enrollment limit for each of our instruments. Submission of this form does not guarantee a place in the program. Your check will be returned if we receive it after we reach our maximum enrollment.

= = = = Please fill out one registration form per child = = = =

+  Indicates a Required Field
Parent Information
+ Parent First Name
+ Parent Last Name
+ Street Address Line 1
Street Address Line 2
+ City
+ State or Province, Country
+ Zip or Postal Code
+ E-mail
Day Phone
+ Evening Phone
+ Prefered method of communication
Name of Adult Accompanying Student if Other Than Above
Student Information

+ Student First Name (as it should appear on name tag)
+ Student Last Name
+ Date of Birth
+ Age on July 1, 2008
+ Gender
+ GMSI Program
+ Fill in the following if your child will be in an instrument program
Primary Instrument
Current Suzuki Volume
Current Piece
Teacher's Name
Teacher's Phone




Elective Choices

We will do our best to honor your choices for all electives.
Instrument Electives: Please select the instrument electives your child would like to participate in. * Indicates additional fee.
Chamber Music *
Piano for 4 Hands *
Orchestra I (Strings Suzuki Vols. 1 and 2, some music reading required)
Orchestra II (Strings Suzuki Vols. 3 and 4)
Viola for Violinists (Suzuki Vols. 3 and up)
Second Instrument Lessons *
Which instrument?
Current Suzuki Volume?
Current Piece
Teacher's Name
Teacher's Phone
Other Electives: Please rank at least 5 electives, with "1" being the elective your child would like the most. We will do our best to schedule your child for his/her top choices.
Sing, Move, and Laugh (Ages 4-8)
Chorus
Baroque Dancing
Taiko Drumming
Fiddling (for strings)
Art
Contra Dancing
Hand Bells (Ages 7 and Up)
African Drumming (Ages 8 and Up)
Composition (Ages 8 and Up)
PeterHElective (Ages 8 and Up)

Practice/Free Time: Students are scheduled for a masterclass and group lesson every day. In addition, each child is scheduled for 3 electives classes. Would you prefer your child to be scheduled for only 2 other electives classes? This would give you 1 hour of unscheduled time during the day. Families often use this time to practice.

Would your child like to perform a solo in a mini-recital during the Institute?

Participant T-Shirt
Each registered child at GMSI will receive a free cotton Green Mountain Suzuki Institute 2008 T-shirt. Please specify the size.



Additional T-Shirts
You may purchase additional T-shirts in advance only for $15 per shirt. Payment must be included with your deposit. Please indicate how many of each size you would like:
Youth XS (2-4) Adult S
Youth S (6-8) Adult M
Youth M (10-12) Adult L
Youth L (14-16) Adult XL
Adult 2XL

Fee Schedule and Payment
Tuition if First Student in the Family $375
Tuition if Second Student in the Family $325
Tuition if Non-Instrument Sibling $175
Chamber Music Elective $100
Second Instrument Lesson Elective $100
Piano 4 Hands Elective $50
African Drumming for Adults $50
Additional T-Shirts
@$15
+ TOTAL FEES (excluding scholarship)
If you are requesting an automatic $100 tuition scholarship, check here. **

**This may not be applied to Non-Instrument Sibling Tuition.

Please make a tax deductible contribution to the 2008 Green Mountain Suzuki Institute.

Yes, I will include a donation with my registration deposit check.
You may recognize me as a supporter of the GMSI in your printed program materials.

Comments, questions, special instructions? Please enter them here:

info@greenmountainsuzukiinstitute.org | 400 Dog Team Road | New Haven, Vermont 05472 | 802-453-2360
The Green Mountain Suzuki Institute is an educational program sponsored by
the Rochester Chamber Music Society, a 501(c)3 organization.
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PHOTO CREDITS: Sharon Koller, Marcelle DiFalco, Kristina MacKulin, Pam Reit,
Nina Daniel, Janice Parker, and Anne Brown.
All images are copyright 2007 and 2008, Green Mountain Suzuki Institute,
and may not be used without written permission.