NJSD After-School Suzuki Talent Education Program: 2023-2024 Continuing Student Registration Form (Due June 16, 2023)
Please use this form to register your student for the 2023-2024 school year.  This form is for students who are were actively taking lessons in the program in the 22-23 school year entering grades 2-5 next year.  If you have a another child (going into grades 1-4) that would like to begin an instrument, DO NOT use this form.  we will have a beginning form for that one sent out soon!  We are operating with lessons taking place ONLY at the new Neenah Middle School.   Also with our staff situation, There are potentially going to be fewer times available Monday and Tuesday.  Please only register one student at a time; if you have multiple students you are signing up, please submit a different form for each student.  If you have any questions while filling out this form, please email Phil Smyth at "philip.smyth@neenah.k12.wi.us" or Betsy Jacobson-Holtz at "ejacobsonholtz@neenah.k12.wi.us".  Thank you!
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Email *
Student's Last Name: *
Student's First Name: *
Current Lesson Teacher (for the 22-23 school year) *
Current School: *
Future Grade Level (2023-2024 School Year): *
Instrument: *
Piece that you are currently working on when filling out this form.  
Parent(s)/Guardian(s) Last Name(s): *
Parent(s)/Guardian(s) First Name(s): *
Parent(s)/Guardian(s) Secondary Email Address: *
Parent(s)/Guardian(s) Primary Telephone Number: *
Parent(s)/Guardian(s) Secondary Telephone Number: *
Parent(s)/Guardian(s) Home Address(es): *
Do you require Financial Assistance? (A family must qualify for the Free/Reduced Meal Program in the Neenah Joint School District to receive a free instrument rental from the school district). *
How many years has your student participated in the Suzuki Program? *
On what day of the week would you prefer to have your student's lesson take place on? (Choice #1 = BEST OPTION CURRENTLY) *
On what day of the week would you prefer to have your student's lesson take place on? (Choice #2).   *
On what day of the week would you prefer to have your student's lesson take place on? (Choice #3).   *
On what day of the week would you prefer to have your student's lesson take place on? (Choice #4).  *
On what day of the week would you prefer to have your student's lesson take place on? (Choice #5 = WORST OPTION CURRENTLY).  *
During what time frame would you prefer to have your student's lesson take place in? (Choice #1) *
During what time frame would you prefer to have your student's lesson take place on? (Choice #2) *
Lastly, are there any important notes your instructor will need in regards to scheduling lessons?  (Example: fall sports, religion classes, parent/guardian work schedules, etc.). *
A copy of your responses will be emailed to the address you provided.
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