STEP Birmingham Registration

Student Name (required)

Student Date of Birth (required)

Parent/Guardian Names (required)

Your Email (required)

Mailing Address(required)


Zip Code(required)

Home Phone

Cell Phone

Work Phone

Desired Instrument

Preferred lesson day


I give my permission for photographs and videos taken of my children and/or members of my family, to be shown or used in educational and promotional material used in connection with Suzuki Talent Education Program.

Tuition : Lessons, group classes, performance classes and recitals

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