Missouri Southern Suzuki Violin Academy
To register for the Suzuki Violin Academy please fill out the form below.

*Student's Name: 
*Date of Birth: 
*Street Type:
*Zip Code: 
*Year of Study: 
*Current Level/Piece: 
Mother's Name: 
Company's Name: 
Phone Number: 
Father's Name: 
Company's Name: 
Phone Number: 
Lesson Preferrences
*Select Type of Lesson:
Indicate preferred time for lessons:(Day/time - indicate a.m. or p.m.)
     Option 1: 
     Option 2: 
     Option 3: 
Can you take lessons on Saturday?
If you would like other information, please indicate here: 

Fee Schedule:

30-min.,$23/week, 45-minute lesson is $34.50/week, and 60-minute lesson is $46/week

POLICY:Should a teacher miss a lesson due to illness or any other circumstance, that lesson will be made up at the convenience of the student. However, teachers are not obligated to provide make-up lessons for student cancellations. He or she may, may not, make up lessons missed by students, depending on the availability of his/her time. If a student must miss a lesson, please call in advance (625-9681). Group lessons missed will not be made up.