Winter Workshop Registration - New DEADLINE: JAN. 10, 2019

Parent Information
Parent Name/s *
Parent Name/s
Parent Home Phone
Parent Home Phone
Parent Mobile Phone *
Parent Mobile Phone
Primary Parent & Student Address *
Primary Parent & Student Address
Student #1 Information
Student Name *
Student Name
Birthdate *
Birthdate
This information is used for class placement. It is not required for the student to play this piece for a master class.
For how long has student been reading music? Which piece is student currently working on and reading ?
Student #2 Information
Student Name
Student Name
Birthdate
Birthdate
This information is used for class placement. It is not required for the student to play this piece for a master class.
For how long has student been reading music? Which piece is student currently working on and reading ?
Fees
Includes student costs for Friday pizza dinner & YMCA fun, Saturday group lessons (3), student music & movement class, parent Q&A, faculty recital, fun memories. OSMP Student $0 Guest Student $45
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Master classes provide students with the dual opportunities to 1) play a polished piece for one of the clinicians, receiving specific one-on-one mastery tips and 2) hear 2-3 other students perform. Master classes are on Saturday, in addition to the 3 group lessons. The master class is one hour long, shared among the 3-4 students. The master class fee is $40 for OSMP students as well as for Guest students. It is not included in the Workshop fee.
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Pizza and Snacks available at YMCA play-in fun night on Friday. Cost for students is included in Workshop fee. Family members invited to join for $5 each.
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Our classic gray t-shirt with our Winter Workshop logo. Be sure to get one for each family member! Youth Sizes S-XL = $10 Adult Sizes S-XL = $10 Adult Sizes XXL = $12 Adult Sizes XXXL = $15
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Workshop Registration is only completed once this form is submitted and payment is received as check, mailed to: Oshkosh Suzuki Music Program 250 North Sawyer St. Oshkosh, WI 54902
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Agreements
Photo Release Agreement *
I am the parent or legal guardian of the listed child registrant who is under 18 years of age, and as noted above I hereby give permission for photographs or video of the child being registered to be published on the website of the Oshkosh Suzuki Music Program or used for other purposes related to the Oshkosh Suzuki Music Program such as media advertising and brochures.
I understand that the Workshop and Master Class fees are non-refundable. *