Every Child Can! Application – Suzuki Association of the Americas

Please fill out the following form, only if you do not have an organization registered in the partners area of the SAA website. If you already have an organization you can setup your ECC course in the event application form here. If you have questions, please feel free to email [email protected].

Sponsoring Organization*

(sponsoring group or organization or trainer, if an in-studio course)

Phone*

Website

Email*

* Event Organizer*

(organizer or representative of sponsoring group/organization)

Position

(event organizer's position at the organization)

Sponsor’s Billing Address

Street 1*

Street 2

City*

State*

Zip*

Country*

Course Date(s) & Time(s)

Start Date*

End Date*

Course Fee*

Currency

Course Hours*

Anticipated Enrollment*

(Min. 2 Participants)

Which of the following are expected?

Teachers

Prospective Teachers

Parents

Others

Course Web Link

Course Contact Phone

Course Contact Email

Additional Schedule Information

Please list any connected events or additional scheduled activities that are expected to support/enhance course enrollment.

Additional

Course Facilitator*

(Must be a registered SAA Teacher Trainer with a current ECC license)

Has trainer accepted verbal or written contract?*

Yes

Course Location

Street 1*

Street 2

City*

State*

Zip*

Country*

Room Capacity*

I understand and agree that a DVD player in working order, and monitor or screen of adequate size will be required for the course.

Promotion

Please specify any additional ways in which you plan to promote the course:*

Please list the course on the SAA Website

By signing below, I agree to the following:

I understand that it is my responsibility to order ECC book materials no less than 15 working days – U.S (20 working days – Canada) prior to the course.

I understand that there is a $30 fee for each participant in the class, and I will submit all fees and wrap-up materials no later than 10 working days – U.S (14 working days – Canada) after the course.

I agree to return any unused ECC books to the SAA no later than 10 working days (14 working days – Canada) after the course and understand that I will be charged for any missing books.

Authorized signature of sponsor or sponsor’s representative

Signature (Please type your name below)

Sponsor’s Billing Address

Course Date(s) & Time(s)

Course Location

Promotion

Authorized signature of sponsor or sponsor’s representative

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