Music Preparatory School Registration Form s1

Music Preparatory School

Chamber Music Registration Form

Fall Session 2, October 10 – December 17, 2016

Tuition: $100.00 Register only after participation is confirmed by Dr. Payne. Chamber music students will meet for weekly coaching sessions with an instructor.

Forms and payments may be placed in the drop box outside room 202 in the Music Education Building or mailed to: Clayton State University, Visual and Performing Arts, Morrow, GA 30260 Attention: Prep School

Student's First Name______Last Name______

Street Address______

City/zip______Age of student: (or write “adult”)______

Telephone______E-mail______

Emergency Contact Name & Phone#______

Instrument (circle one): Violin Viola Cello Bass Piano

Length of previous instrumental study (if not a beginner): ______years, ______months

**Name of school: ______

Checks or Money Orders should be made payable to CSU. If paying by credit card, please include completed Credit Card Payment Form with this form. We are unable to accept cash payments; no refunds will be issued after lessons begin. Please note that instructors are not required to make up lessons that students miss.

For further information, please contact: Dr. Carol Payne, Director 678-466-5600 [email protected]

**Please note: String students who attend a school that has a school orchestra are required to enroll in that program as well. The Music Preparatory School Chamber Program is not meant as a replacement for participation in school orchestras, but rather to complement these programs.