Teacher Workshop Registration FormName*Please enter your name as you want it to appear on your name badge. First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Preferred Contact Number*If you have attended CSI in the past, please list the yearsIf this is your first time attending just note "first year attending"From what source did you learn of CSI:Recommendation of FriendSchoolPast attendanceSAA Journal or WebsiteWeb searchSocial MediaOtherTraining Prerequisites and Teacher WorkshopsBook 1 courses begin at 8:30 am on Saturday and run through 5:00 pm on the following Saturday.All other Book courses begin at 8:30 am on Sunday and run through 5:00 pm on Friday.For any Book 1 training courses, Every Child Can! course must be completed before arriving at Colorado Suzuki Institute.The Suzuki Association of the Americas training guidelines and requirementsSuzuki units must be taken in book order through the level of unit 3. All book 1 participants must have completed an Every Child Can! course before the start of all book 1 course. Read more about the ECC course at: https://coloradosuzuki.org/teacher-workshops/book-courses/ecc-course/Have you taken the required Every Child Can! course?*If not, use this link to register for the Online Every Child Can! course. This MUST be completed for all Book 1 participants before attending CSI. https://coloradosuzuki.org/teacher-workshops/book-courses/ecc-course/I have completed Every Child Can!I will register separately and complete Every Child Can! before attending CSI.Read about the SAA Training Requirements at the link below:*https://suzukiassociation.org/teachers/training/audition/I have read the SAA Training requirementsPrevious Suzuki Training UnitsPlease list past Suzuki training units and approximate year you completed that training. If none, enter 'no previous Suzuki training courses'Roommate MatchingTuition and lodging are separate fees. To assist with costs the CSI provides roommate matching as a courtesy to our participants. We will try to accommodate your request, but we cannot guarantee you a roommate. CSI is not responsible for any alterations in plans or cancellations by roommates, and the CSI will not pay the difference in your fees if your roommate does not show up.If you indicate interest in roommate matching below, you will be prompted to fill out a roommate matching form after completing this form.Check the box below if you are interested in Roommate Matching Yes, I am interested in roommate matching My lodging is already arrangedIf interested in roommate matching, please indicate your gender:-FemaleMaleWhat Book Unit Course did you register for?Book 1: Saturday to Saturday - $1,100.00. Books 2+: Sunday to Friday - $750.00. Only one book course can be taken at a time.Guitar Book 2Piano Book 2Piano Book 4Piano Book 6Piano Book 7Violin Book 1Intended Class StatusThe SAA strongly encourages Participant status. Auditor status is possible for those who wish to review a course taken previously or for teachers who have not submitted an audition. Auditors may not register courses with the SAA and pay full tuition for their audited course.Intended Class StatusParticipantAuditorRelease for Program, Activities and Emergency CareI hereby grant permission to participate in the program offered by the Colorado Institute of Music and the Colorado Suzuki Institute and to participate in the extra daily activities and free clinics offered by the Institute. The Institute will use reasonable precaution for the participant’s safety. However, by the very nature of the activities and clinics offered, I understand that the Institute cannot guarantee the safety of every participant.I understand, state and agree to hold the Institute, its officers, directors, employees and all those acting on behalf of the Institute, harmless from all liability of any kind by reason of any accident, injury or damage, whether to person or property, resulting from my participation in the Institute’s program, activities and clinics.Any controversy, claim or alleged liability arising out of or relating to this agreement, or my participation in the Institute’s 2024 program, shall be settled by arbitration administered by the American Arbitration Association, in Denver, Colorado and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. Each party shall pay its own costs and attorney fees.I hereby grant permission for the Director of Music, or the Director’s authorized personnel, of the Colorado Institute of Music, Inc. to obtain medical care on my behalf, the above named participant, in the event of an emergency. I understand and agree that such action may include, but not be limited to:a) Contacting a physician or paramedic;b) Admitting the participant to an emergency clinic or hospital;c) Engaging the services of ambulance or other emergency vehicle.I understand and agree that such action will be taken on behalf of the participant and that I shall be responsible for all costs and expenses of such emergency treatment.Photo ReleaseI hereby grant the Colorado Institute of Music permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of the Colorado Institute of Music and will not be returned. I hereby irrevocably authorize the Colorado Institute of Music to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge the Colorado Institute of Music from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.Name of Participant Granting PermissionSignature Date MM slash DD slash YYYY