New Student Profile

Registration Form Preparatory Center for the Arts

This form is available online (montclair.edu/music Click on the Preparatory Center) and can be e-mailed to

[ ] FALL SEMESTER Year______[ ] SPRING SEMESTER Year______

[ ] Full Year registration option (Only available in Fall)

[ ] Returning Student [ ] New Student Are you an MSU Student, Employee or Alum? [ ] YES [ ] NO

Student Name: ______Student Age: ______

(Not required if you are 18 years or older)

Address: ______

STREETCITYSTATEZIP

Parent/Guardian Name: ______

(Not necessary if you are an adult student)

Phone: (____) ______Cell: (____) ______Work: (____) ______

E-mail: ______

Day/Time Scheduling Preferences:

REQUESTS(Please indicate your choices)

[ ] PRIVATE MUSIC LESSONS : Piano Students: [ ] Traditional[ ] Suzuki

Instrument 1: ______Lesson Length: [ ] 15-minutes [ ] 30-minutes [ ] 45-minutes [ ] 60-minutes

Instructor Request: ______

If you are new to the Prep Center and do not know our instructors we will gladly help make an instructor/student match

[ ] Electives(Please indicate your Class and/or Ensemble requests, maximum of 2 w/discount)

Class/Ensemble: ______Time: ______Instrument: ______

Instrument 2: ______Lesson Length: [ ] 15-minutes [ ] 30-minutes [ ] 45-minutes [ ] 60-minutes

Instructor Request: ______

[ ] Electives(Please indicate your Class and/or Ensemble requests, maximum of 2 w/discount)

Class/Ensemble: ______Time: ______Instrument: ______

[ ] Suzuki String Study [ ] Violin[ ] Cello

Lesson Length: [ ] 15-minutes [ ] 30-minutes [ ] 45-minutes [ ] 60-minutes

Instructor Request: ______

If you are new to the Prep Center and do not know our instructors we will gladly help make an instructor/student match

Book Class Level: ______

[ ] Electives(Please indicate your elective class and/or ensemble requests, maximum of 1 w/discount)

Reminder: The book class is included in the Suzuki Study pricing

Class/Ensemble: ______Time: ______

[ ] Classes/Ensembles

Class/Ensemble: ______Time: ______Instrument: (if appropriate) ______

New Student Profile: (Please provide us with some information about you or your child’s musical background)

Instrument 1:______Years:______

Instrument 2:______Years:______

Ensemble experience (if applicable):______

REGISTRATION COMPLETION

Please do the following to complete your part of the registration process:

1. Indicate if you would like the Prep Center office to calculate your invoice with the installment plan.

[ ] YES I want the Installment Option ($30 per semester fee enabling the total semester invoice to be paid in three payments)

[ ] NO I do not want the Installment Option

2. Mail your check (payable to MSU), credit card authorization, or money order with the appropriate registration fee and form to:

The Preparatory Center for the Arts

Cali School of Music

Chapin Hall

Montclair State University

Montclair, NJ 07043

** Please DO NOT fax Credit Card Authorization Forms**

A Semester schedule confirmation will be sent via e-mail.

TUITION CALCULATOR

It is not necessary for you to calculate your invoice. However, the Tuition Calculator has been provided for your reference. The Preparatory Center for the Arts office will calculate and send a semester invoice.

Please see the Information Booklet for a listing of lessons, classes, ensembles and current fees

Private Lesson, Class or Ensemble Cost
Elective 1 Cost
Elective 2 Cost
Additional Class, Ensemble or Private Lesson
Additional Class, Ensemble or Private Lesson
TUITION TOTAL
Subtract 10% for the Family or MSU Discount
Family Discount: Full payment is due on the first child. Each
additional child is eligible for the family discount.
MSU Discount cannot be used in conjunction with the Family
Discount.
BALANCE
Add the Registration Fee
Individual Registration is $35 per semester or $50 for the Full year
Family Registration is $50 per semester or $65 for the Full Year
Add $30 for the Installment Payment Option
GRAND TOTAL

Thank you for giving us the opportunity to participate in you and/or your child’s music learning experience!