<p> Music Preparatory School </p><p>Chamber Music Registration Form</p><p>Fall Session 2, October 10 – December 17, 2016</p><p>Tuition: $100.00 Register only after participation is confirmed by Dr. Payne. Chamber music students will meet for weekly coaching sessions with an instructor.</p><p>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</p><p>Student's First Name______Last Name______</p><p>Street Address______</p><p>City/zip______Age of student: (or write “adult”)______</p><p>Telephone______E-mail______</p><p>Emergency Contact Name & Phone#______</p><p>Instrument (circle one): Violin Viola Cello Bass Piano</p><p>Length of previous instrumental study (if not a beginner): ______years, ______months</p><p>**Name of school: ______</p><p>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.</p><p>For further information, please contact: Dr. Carol Payne, Director 678-466-5600 [email protected]</p><p>**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. </p>