Tuesday Strings! Beginning/Intermediate Violin, Cello, Guitar (instruments provided)

Herrin Cool Cat Singers! Great Music, Vocal Techniques, Movement

Tuesday Herrin Art! Multi-media Art Techniques

Assessment for class placement will be the first day of class from 3:00 — 3:30 pm. Length of class will also be

determined during your assessment. You will be notified of your class time after assessment.

Location: Herrin Elementary School

Dates: September 12, 19, 26; Oct. 3, 10, 17, 24, 31; Nov. 7, 14 & 28

Kathleen Frye, Art Director, kfrye@siu.edu

Paula Melton, Music Director, melton@siu.edu

please contact if interested in private lessons

REGISTRATION FORM: 18W0200804

Student Name Parent/Guardian

Address Age Grade

Phone Email Instrument:

Is student attending After School Stars? Yes No

I would like my child to participate in the following Herrin After School Arts Program:

Beginning Suzuki Violin $160.00 Intermediate Suzuki Violin $160.00

Beginning Suzuki Cello $160.00 Beginning Guitar $160.00

Herrin Cool Cat Singers! $100.00 Herrin Art! $170.00

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I am paying by: Visa MasterCard Discover Check

Account #: Exp. Date:

CSC Code: Name on card (Please Print):

Email Address (for receipt):

Register online: conferenceservices.siu.edu or return this form with payment to: Conference & Scheduling Services,

Student Center — Mailcode 6705, 1255 Lincoln Drive, Southern Illinois University, Carbondale, IL 62901

or call 618 / 536-7751

Concert/Art Exhibit:

December 3, 2017

OBF – SIU campus; Time (TBA)