Fall Workshop 2022 Registration Form
Fall Workshop date and location: September 24 (Saturday), 9:00am-3:00pm, Orangewood Presbyterian Church,  7321 N 10th St, Phoenix, AZ 85020. 

Registration is a two step process: Step 1 fill out this form and submit. Step 2 pay by clicking on the PayPal Button on the ASA website workshop page.

Fees/Deadlines: Early-bird registration discount is $65 per student, deadline Sept 9. Regular registration is $75 per student, deadline Sept. 16. Registration fee includes 1 year ASA Membership for 2022/23. You must be registered to attend, no same day registration. Please fill out one form per child attending.

Once you are registered, and payment received, you will receive a confirmation email. Please fill out one form per student attending.
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Parent First Name *
Parent Last Name *
Address (number and street) *
City *
State *
Zip code *
Student's Instrument *
Parent Phone Number *
Parent Email Address *
Student First Name *
Student Last Name *
Student Age *
Suzuki Book Number *
Current Song Name and Composer (Example: Lightly Row, Folk Song) *
Private Teacher's Name (first and last) *
Private Teacher's Email *
I will pay by the following method: *
必填
If paying by PayPal, PayPal account user name. *
Comments
Additional Registration Info
To complete your registration, please submit this form. Then pay the workshop fee using PayPal at the ASA website workshop page. Or please mail checks made payable to ASA and mail to: Chris Mahar, 8622 W. Purdue, Peoria, AZ 85345.
Questions? Email arizonasuzuki@gmail.com
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