Music Preparatory School Registration Form

Private Lessons (Professional Instructors) and Classes

If you'd like to register for theMusic Preparatory School Orchestra Project, Clayton County Youth Orchestra, Masterworks Chorus, or Chamber Music, please use the appropriate registration form.

Fall Session 2, October 16 – December 16, 2017

Registration and payment must be completed on or before October 21.Payment may be submitted online by credit or debit card. Please visit our website for the link:

Forms and checks may be placed in the drop box outside room 202 in the Music Education Building or mailed to:

Dr. Carol Payne, Clayton State University, Visual and Performing Arts, Morrow, GA 30260

Student's First Name______Last Name______

Street Address______

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

Telephone______E-mail______

Instrument/voice______Preferred Instructor: ______

(If no preferred instructor, one will be assigned.)

Emergency Contact

Name & Phone#______

Please circle selection:

Private Lessons
Weekly individual lessons / Music Preparatory School Professional Faculty
. / Private Lesson: 30 min $198.00
Private Lesson: 45 min. $297.00
Private Lesson: 60 min. $396.00
Lessons with Clayton State University music professors may also be arranged for additional tuition. Please contact faculty member or Dr. Payne before registering.
Classes
Weekly group lessons / Beginning Adult Piano Class I*Saturdays, 1:00 – 1:50 p.m.
Beginning Youth Piano Classes* (age 8 – 12)Thursdays, 5:00 – 5:50 p.m.
Violin Class* (intermediate level)Tuesdays Contact Dr. Payne for availability.
Beginning Music Theory Class: TBAContact Dr. Payne for availability.
All classes: $115.00.
Please underline choice class→→→

*All classes are dependent on enrollment and class size is limited. Advance registration is recommended.

Payments received after October 21 will be subject to a $25.00 late fee.

Checksor Money Orders should be made payable to CSU. Payment may be submitted online by credit or debit card: Please visit our website for the link: Norefunds will be issued after lessons begin.Instructors are not required to make up lessons that students miss.

For further information, please contact:

Dr. Carol Payne, Director

678-466-5600