SMW Program Coordinator
Bursaries & Scholarships
Hear Us Play
NEW FAMILIES: Please contact
regarding private teacher information and fees.
This form is for Suzuki Strings Group Class registration.
Strings Registration Form
Indicates required field
Participating Parent / Guardian
Other Parent / Guardian
Address (enter "SAME" if address is same as above)
Our family will register more than one student (please complete & submit separate registration forms per student.)
Age (as of September 1st)
Date of Birth
Current Book Level
Current Working Piece
Name of Private Teacher (Select name from menu)
Krystena Krahn Herbert
Group Class Preference
Thursday Evening - River Heights
Thursday Evening - North End (Violin ONLY)
Saturday Morning - Central (Beginner Violin ONLY)
Allergies / Medical Information
Volunteer Opportunities (choose 2)
Winter Concert: Set Up
Winter Concert: Silver Collection
Winter Concert: Program Distribution
Winter Concert: Clean Up
Spring Concert: Set Up
Spring Concert: Silver Collection
Spring Concert: Program Distribution
Spring Concert: Clean Up
Kids Fest (June)
Instrument Rental & Registry
Unable to Volunteer This Year
1st and 2nd preferences
Informed Consent, Permission and Waiver of Claim
I, the undersigned parent/guardian agree that the SMW, its teachers, parent board and parent volunteers will not be held liable for any injury to the student and any accompanying individuals who attend lessons or other musical events as a result of enrolment in this program. I acknowledge that communication will be done primarily via email and agree to such under the Spam Legislation Act. The SMW will not be held liable for any loss or damage to personal property at any time. I understand that the SMW will not be responsible for the care of my child, before, during or after any scheduled SMW events.
Payment and Cancellation Policies
Notification of withdrawal must be received prior to the withdrawal deadline and will be subject to an administration fee. After the withdrawal deadline all fees are non-refundable. All NSF cheques are subject to an administration fee. All fees are noted on our website.
I have read, understand, and I agree to abide by all of the foregoing stipulations.
Do you give
Suzuki Music Winnipeg
permission to include your child's photo/video on the Program's website, social media, newsletters, and other promotional material?
Photo / Video Consent
Yes, I give SMW permission
No, I do not give SMW permission
Your printed name will act as a signature
Do you have any questions about your child's registration?
Are you interested in SMW merchandise?
Yes, please send me information.
No thank you.
Where did you hear about our program?
Word of Mouth
If you selected "Other" please specify
Suzuki Music Winnipeg