Missouri Southern Suzuki Violin Academy

Department of Music · Missouri Southern State University
3950 E. Newman Rd., Joplin, MO 64801-1595 · 417.625.9681 · E-mail: Dr. Kexi Liu

To register for the Suzuki Violin Academy please fill out the form below
then select the "Send form to MSSVA" button .

Student's Name:
Date of Birth:
Address:
City/state/zip:
Gender:
Phone:
E-mail:
Year of Study:
Current Level/Piece:
Mother's Name:
Occupation:
Company's Name:
Phone Number:
Father's Name:
Occupation:
Company's Name:
Phone Number:


Select Type of Lesson:

30-minute
45-minute
60-minute

Indicate preferred time for lessons:
(Day/time - indicate a.m. or p.m.)
Option 1:
Option 2:
Option 3:

Can you take lessons on Saturday? Yes No


   

If you would like any other information, please indicate here:

Fee Schedule:

30-min., $20.00/week; 45-min., $30.00/week; 60-min., $40.00/week

POLICY: Should a teacher miss a lesson due to illness or any other circumstance, that lesson will be made up at the convenience of the student. However, teachers are not obligated to provide make-up lessons for student cancellations. He or she may, or may not, make up lessons missed by students, depending on the availability of his/her time. If a student must miss a lesson, please call in advance (625-9681). Group lessons missed will not be made up.

Thank you for completing our online form! We look forward to seeing you.

Missouri Southern Suzuki Violin Academy

Send an e-mail message
Back to MSSU Home Page
Missouri Southern State University
3950 E Newman Rd. · Joplin, MO 64801-1595
Updated September 2005
Copyright©; Missouri Southern State University, all rights reserved.