Registration Form - Returning Students

Parent Information
Parent 1 Name *
Parent 1 Name
Address *
Phone Number *
Phone Number
Parent 2 Name
Parent 2 Name
Parent 2 Phone Number
Parent 2 Phone Number
Student Information
Student Name *
Student Name
Date of Birth *
Date of Birth
Student Status *
Lesson Length *
Please give as much information as possible to help facilitate scheduling.
Terms and Conditions
Payment plan *
Please choose the payment plan that will work best for your family.
I give Ridgefield Suzuki School consent to use photos and videos of myself and/or my child/children for publications or publicity purposes. Children's names will not be used in publicity photos and videos. *
By checking this box I agree to register my child for classes at the Ridgefield Suzuki School. I understand and agree to the policies on the Policies Page. I understand that I am committing to pay the full tuition for the full academic year, Sept.-June (except if I am registering after the start of the term in which case tuition will be pro-rated). *
I understand that I will be charged a $200 deposit today. This deposit will be deducted from my total tuition. *
I agree to have the Ridgefield Suzuki School automatically charge my credit/debit card according to the payment plan I have chosen. *