Teacher Registration Form First Name (required) Last Name (required) Date of Birth (required) Gender (required) ---MaleFemale Instrument for Teacher Training Course (required) Address (required) City (required) State (required) Zip Code (required) Your Email (required) Phone Number (required) SAA Membership Number Training Status (required) ---ParticipantAuditor If you are a high school student, what is your planned date of graduation? T-Shirt Size (included in tuition) (required) ---Adult - SAdult - MAdult - LAdult - XLAdult - XXL Please list previous Suzuki training. Include units covered, dates, instructors and institutes or workshops attended. TEACHER TRAINEE FEE PAYMENT - T-shirt & Sunday Pizza Dinner are included with any Unit registrations - No registration fee if registering for ECC only Early Bird Discount (-$25)Registration Fee (non-refundable): $75Every Child Can! (June 7, 2018): $145Unit 1 (June 8-15, 2018): $685Unit 1 & ECC: $805SAA Course Registration Fee (unit 1): $15Unit 2 (June 7-11, 2018): $455SAA Course Registration Fee (unit 2): $15Unit 3 (June 11-15, 2018): $455SAA Course Registration Fee (unit 3): $15Units 2 & 3: $885Unit 4 (June 7-11, 2018): $455SAA Course Registration Fee (unit 4): $15Unit 5 (June 11-15, 2018): $455SAA Course Registration Fee (unit 5): $15Units 4 & 5: $885Cello Revisiting Unit 1 (June 7-11, 2018): $455SAA Course Registration Fee (revisiting unit 1): $15Cello Supplementary Course (June 11-15, 2018): $455SAA Course Registration Fee (cello supplementary): $15Cello Both Courses: $885 Number of Additional Pizza Dinners ($8 each) Number of Cook-out Dinner Tickets ($5 each) Additional T-Shirts ($15) - Please list Number and Size I have read and understand the Memphis Suzuki Institute Policies and I agree to abide by the regulations stated there. I accept complete responsibility for the charges and fees that may be incurred. Please note that you will not be able to submit the form without first checking the box above to accept our policies. You may view our policy by clicking on this link: http://suzukimemphis.com/policies/ Once you click the "Submit Form" button, we will receive your form for review. You will receive a PayPal invoice within 24 hours. The invoice will be sent to the email address you provided. Thanks!