Registration Form

Registration Form

To register, please complete the form below then select
'Submit' to email it directly to our office,
or select 'Print This Form' from the top of this window
to mail to our office.

Name:

Address:

City:	*
Postal Code:	*

Home Phone:	*

Email Address:

Child's Name:	*
Child's Age:	*

If printing, please include your signature before mailing the form.
Please print clearly and keep a copy for your records.

Tax receipts will be issued.

Mail completed registration form to:

Brant Suzuki String School
25 Sherry Lane
Brantford, Ontario
N3R 2T3

For more information contact

Virginia Little
Phone: 519-752-2455

brantsuzuki@rogers.com

Print This Form