New Student Registration

Welcome to Registration! Please collect your method of payment (credit card, debit card, etc) before beginning this process and reserve 5-10 minutes to complete your registration. If you fail to schedule payment when prompted, your Registration Form will not be processed and your information will not be saved.

Visit the Fees and Financial Matters page for detailed information on our Tuition, Cancellation Policy, Withdrawal Deadlines, Late Fees, and Prorated Tuition for new students beginning mid-semester.
Student Information
Student Name*
First Last
Date of Birth:*
Month
Day
Year
Age*
School
Grade
Instrument
Teacher
Lesson Length
Additional Classes
- Early Childhood Education
- Chamber Music
- Orchestra
- Music Theory
Scheduling Information
Please leave as much scheduling information as possible, and let us know if you are available during the school day.
Preferred Days & Times
Unavailable Times
Do you have an instrument?
Would you like information about renting an instrument?
Prior Experience
Please list current playing level, reading level, and any prior experience.
How did you learn about GSA?
Check the box to add Student 2.
- Another Student
Student 2 Information
Student 2 Name*
First Last
Date of Birth:*
Month
Day
Year
Age*
School
Grade
Instrument
Teacher
Lesson Length
Additional Classes
- Early Childhood Education
- Chamber Music
- Orchestra
- Music Theory
Scheduling Information for Student 2
Please leave as much scheduling information as possible, and let us know if you are available during the school day.
Preferred Days & Times
Unavailable Times
Do you have an instrument?
Would you like information about renting an instrument?
Prior Experience
Please list current playing level, reading level, and any prior experience.
Check the box to add Student 3.
- Another Student
Student 3 Information
Student 3 Name*
First Last
Date of Birth:*
Month
Day
Year
Age*
School
Grade
Instrument/ECE
Teacher
Lesson Length
Additional Classes
- Early Childhood Education
- Chamber Music
- Orchestra
- Music Theory
Scheduling Information for Student 3
Please leave as much scheduling information as possible, and let us know if you are available during the school day.
Preferred Days & Times
Unavailable Times
Do you have an instrument?
Would you like information about renting an instrument?
Prior Experience
Please list current playing level, reading level, and any prior experience.
Check the box to add Student 4.
- Another Student
Student 4 Information
Student 4 Name*
First Last
Date of Birth:*
Month
Day
Year
Age*
School
Grade
Instrument
Teacher
Lesson Length
Additional Classes
- Early Childhood Education
- Chamber Music
- Orchestra
- Music Theory
Scheduling Information for Student 4
Please leave as much scheduling information as possible, and let us know if you are available during the school day.
Preferred Days & Times
Unavailable Times
Do you have an instrument?
Would you like information about renting an instrument?
Prior Experience
Please list current playing level, reading level, and any prior experience.
Check the box to add Student 5.
- Another Student
Student 5 Information
Student 5 Name*
First Last
Date of Birth:*
Month
Day
Year
Age*
School
Grade
Instrument
Teacher
Lesson Length
Additional Classes
- Early Childhood Education
- Chamber Music
- Orchestra
- Music Theory
Scheduling Information for Student 5
Please leave as much scheduling information as possible, and let us know if you are available during the school day.
Preferred Days & Times
Unavailable Times
Do you have an instrument?
Would you like information about renting an instrument?
Prior Experience
Please list current playing level, reading level, and any prior experience.
Contact Information
Parent 1*
First Last
Parent 2
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Email*
Email News
- I Agree To Opt-In To Receive GSA Email News & Updates
Parent 1 Work/Cell Phone*
Parent 1 Occupation
Parent 2 Work/Cell Phone
Parent 2 Occupation
Preferred Phone Contact
Register for this site:
Username
Password
Enter Password Confirm Password
Tuition Options*
Please choose your payment plan option for tuition. Based on your choice, a detailed payment plan will be created and provided for you upon review of your registration. A $300 deposit, per student, is required to hold your spot and will be required with your registration. This deposit will be deducted from your tuition total.
Tuition - Two Payments
I would like to pay tuition with two payments. Payments will be due September 1st and January 1st.
Number of students taking 30 minute lessons
Number of students taking 45 minute lessons
Number of students taking 60 minute lessons
Number of students enrolled in Early Childhood Education (ECE)
Number of students enrolled in Chamber Music (Optional)
Number of students enrolled in Orchestra (Optional)
Number of students enrolled in Music Theory (Optional)
Tuition - 10 Monthly Payments
I would like to pay tuition in 10 monthly payments. Payments will be due the 1st of each month, September through June.
Number of students taking 30 minute lessons
Number of students taking 45 minute lessons
Number of students taking 60 minute lessons
Number of students enrolled in Early Childhood Education (ECE)
Number of students enrolled in Chamber Music (optional)
Number of students enrolled in Orchestra (optional)
Number of students enrolled in Music Theory (optional)
Photo Consent
Parent One Photo Consent Authorization*
- By checking this box, I grant consent for my child(ren) to have his or her picture taken or to be filmed by Greenwich Suzuki Academy. I authorize Greenwich Suzuki Academy to publish such picture or video footage on any such Greenwich Suzuki Academy official website and/or any official electronic or paper publication of the Greenwich Suzuki Academy. This consent is not revocable. This consent shall not allow any further publication or broadcast of such picture or video footage by any other party, (e.g. news media publication or broadcast, etc.) without my advance written authorization.
Parent Two Photo Consent Authorization
- By checking this box, I grant consent for my child(ren) to have his or her picture taken or to be filmed by Greenwich Suzuki Academy. I authorize Greenwich Suzuki Academy to publish such picture or video footage on any such Greenwich Suzuki Academy official website and/or any official electronic or paper publication of the Greenwich Suzuki Academy. This consent is not revocable. This consent shall not allow any further publication or broadcast of such picture or video footage by any other party, (e.g. news media publication or broadcast, etc.) without my advance written authorization.
Registration Authorization
Registration Authorization*
- By checking this box I agree to register my child(ren) for classes through Greenwich Suzuki Academy. I understand and agree to abide by the policies as stated in the Fees and Financial Matters form including those on Cancellations/Makeups, Early Withdrawal, Payments, etc. I understand that I am committing to pay the full tuition for this term and it is not permissible to change teachers within a term.
Deposit Authorization
Deposit Payment Authorization*
- By checking this box I agree to pay a $300 deposit, per student, to reserve my lesson time for the 2022-2023 school year. This deposit amount, payable with registration submission, will be applied towards the total tuition due.
Total Number of Students / Deposit Due*
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Online Payments
Click the Register button to complete the transaction.

Student Information

Scheduling Information

Student 2 Information

Scheduling Information for Student 2

Student 3 Information

Scheduling Information for Student 3

Student 4 Information

Scheduling Information for Student 4

Student 5 Information

Scheduling Information for Student 5

Contact Information

Register for this site:

Tuition - Two Payments

Tuition - 10 Monthly Payments

Photo Consent

Registration Authorization

Deposit Authorization

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