Clone of 2025 - 2026 SMPLA Annual Registration Form

This SECOND SEMESTER Registration form is for SMPLA “Core Activities” and
“Suzuki Ensembles” program for the second semester of the 2025-2026
season.

CORE ACTIVITIES: Spring Solo Recital, Public Performances (Senior Living Center,
Parks, etc., Parent Support Forums, and other musical opportunities)

SUZUKI ENSEMBLES program:
♥ Violin, Guitar, Cello, Viola, Bass – All ages and abilities are invited.
♥ “Open Door” policy – all students welcome regardless of which private teacher they
study with.
♥ Repertoire: Classical music (Bach, etc.), Movie Tunes, Fiddle, World Music, and
special arrangements of Suzuki repertoire.
♥ Five Rehearsal Workshops and One Concert, Two offsite public performances

Rehearsal Workshops and Concert:
March 2nd and 16th, April 6th and 20th, May 11th and 18th (Concert)
(Mondays, 5:45 – 7:10 pm).
Offsite Public Performances:
Sunday, March 22nd – “Bach in the Subways”
Saturday, April 25th – Senior Living Center
(Both in the San Fernando Valley area)

PLEASE SUBMIT ONE FORM PER STUDENT.

Student Name*

First NameLast Name

Gender*

Birthday*

MM/DD/YYYY

Parent 1 Name *

First NameLast Name

Parent Email*

example@example.com

Parent 2 Name (optional)

First NameLast Name

Additional Email (optional)

example@example.com

Primary Mobile Phone*

XXX-XX-XXXX

Secondary Mobile Phone

XXX-XX-XXXX

Street Address*

City*

Zip Code*

YesNo

SMAC Teacher*

Name of Teacher*

First NameLast Name

TEACHER Email*

example@example.com

Primary Mobile Phone*

XXX-XX-XXXX

Instrument*

Most Recent Book / Piece being learned*

Questions/Comments

You are required to read the following information carefully and make sure that you understand it fully and agree to it before allowing your child(ren) to participate in this activity or program.

Code of Conduct Photo & Video Release for Minors

Liability & Medical Waiver

Yes, I agree to the Code of Conduct, Liability & Medical Release, and Photo & Video Release (acceptance is mandatory to participate in this event.)

My Products

SMPLA "CORE ACTIVITIES" – PROATED for those joining during 2nd Semester (Includes PayPal fees) $43.78

The Core Activities Fee includes Solo Recitals, Public Performances, Parent Support Forums, etc during the 2025 - 2026 season.

SMPLA "Suzuki Ensembles" SECOND SEMESTER (Includes PayPal fees) $187.62

Five Workshop Rehearsals, Two Public Performances, One Concert during the second semester of the 2025 - 2026 season. Tuition can be prorated if joining mid-semester. Contact us.

SMPLA Red Tie$16.05

For Public Performances & Concerts

SMPLA T-Shirt!$19.16

SMPLA T-Shirt

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SMPLA Parent Education Seminar "Motivate and Mentor" $57.50

PARENT Education Seminar four-week Seminar will be held virtually in the Spring of 2026.

I love SMPLA and want to support Music Education (choose donation amount below)$ Free

This is a tax-deductible donation to SMAC, a 501(c)(3) non-profit organization. My donation will be directed to support SMPLA music education. CHECK the box above and select your amount below. Please choose a donation amount.

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