• STUDENT'S INFORMATION
Student #1:
Last Name:
First Name:
Age:
Street:
City: State: Zip:
Phone (XXX-XXX-XXXX) :
E-mail:
Student #2: Last Name:
First Name:
Age:
Student #3: Last Name:
First Name:
Age:
Student #4: Last Name:
First Name:
Age:
If any student listed above is under 18 years of age:
Parent/Guardian
Mrs.
Ms.
Mr.
Dr.
Work Phone (XXX-XXX-XXXX) :
Cell Phone (XXX-XXX-XXXX) :
E-mail:
• COURSE REGISTRATION
PRIVATE MUSIC LESSONS (Traditional and Suzuki) (Private Music Lessons only - group classes, Theatre and Art register below)
Full Spring Term : January 9 - April 23
30-minute weekly lessons for 14 weeks = $294.00*
45-minute weekly lessons for 14 weeks = $441.00*
60-minute weekly lessons for 14 weeks = $588.00*
*plus registration fee
Mid-Semester (Half) Term: February 27 - April 23
30-minute weekly lessons for 7 weeks = $147.00*
45-minute weekly lessons for 7 weeks = $221.00*
60-minute weekly lessons for 7 weeks = $294.00*
*plus registration fee
Select the desired course and teacher, the number of lessons (14 or 7), and the tuition total.
Enter a lesson day/time only if you have scheduled your lesson time with the Arts Institute office.
>>NEW STUDENTS MUST CONTACT THE ARTS INSTITUTE OFFICE AT (812)941-2436 PRIOR TO REGISTERING FOR
PRIVATE LESSONS TO ENSURE LESSON DAY/TIME and TEACHER AVAILABILITY.
Information about each of the private lesson instructors can be found on the Music Faculty page .
DO NOT enter dollar signs ($)
COURSE CODE/TEACHER
DAY *
TIME *
LENGTH
# LESSONS
TUITION
MUS-VLN VIOLIN Helen Bohannon
MUS-VLN VIOLIN Nicolas Fortin
MUS-VLN VIOLIN Michael Hill
MUS-VLN VIOLIN Ana Sarbu
MUS-VLA VIOLA Meghan Casper
MUS-VLA VIOLA Michael Hill
MUS-CEL CELLO Allison Olsen
MUS-CEL CELLO Jon Silpayamanant
MUS-BAS BASS Karl Olsen
MUS-GTR GUITAR Mario DaSilva
MUS-GTR GUITAR Andrew Rhinehart
MUS-EGT CONTEMPORARY/ELECTRIC GUITAR Zak Denham
MUS-EBS ELECTRIC BASS GUITAR Zak Denham
MUS-MND BEGINNING MANDOLIN Zak Denham
MUS-PNO PIANO Christine Brown
MUS-PNO PIANO Joy Cofield
MUS-PNO PIANO Marci Dickinson
MUS-PNO PIANO Grace Baugh-Bennett
MUS-PNO PIANO Jennifer Johanningsmeier
MUS-ORG ORGAN Janet Hamilton
MUS-FLT FLUTE Marci Dickinson
MUS-FLT FLUTE Jennifer Johanningsmeier
MUS-OBO OBOE Trevor Johnson
MUS-CLA CLARINET Naomi Henderson
MUS-SAX SAXOPHONE John Moore
MUS-SAX SAXOPHONE Cory Barnfield
MUS-HRN FRENCH HORN Colin Dorman
MUS-TPT TRUMPET Jerry Amend
MUS-TRB TROMBONE Mildred Kemp
MUS-TUB TUBA Chris Bettler
MUS-EUP EUPHONIUM Chris Bettler
MUS-PRC PERCUSSION Mark Tate
MUS-VOC VOICE Aaron Lundy
MUS-VOC VOICE Rick Rebilas
SUZ-VLN SUZUKI VIOLIN Leila Trindade
SUZ-VLN SUZUKI VIOLIN Michael Hill
SUZ-CEL SUZUKI CELLO Lori Getty
SUZ-PNO SUZUKI PIANO Marilyn Mathis
SUZ-PNO SUZUKI PIANO Joy Cofield
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
30 min
45 min
60 min
14
7
1
2
3
4
5
6
8
9
10
11
12
13
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
MUS-VLN VIOLIN Helen Bohannon
MUS-VLN VIOLIN Nicolas Fortin
MUS-VLN VIOLIN Michael Hill
MUS-VLN VIOLIN Ana Sarbu
MUS-VLA VIOLA Meghan Casper
MUS-VLA VIOLA Michael Hill
MUS-CEL CELLO Allison Olsen
MUS-CEL CELLO Jon Silpayamanant
MUS-BAS BASS Karl Olsen
MUS-GTR GUITAR Mario DaSilva
MUS-GTR GUITAR Andrew Rhinehart
MUS-EGT CONTEMPORARY/ELECTRIC GUITAR Zak Denham
MUS-EBS ELECTRIC BASS GUITAR Zak Denham
MUS-MND BEGINNING MANDOLIN Zak Denham
MUS-PNO PIANO Christine Brown
MUS-PNO PIANO Joy Cofield
MUS-PNO PIANO Marci Dickinson
MUS-PNO PIANO Grace Baugh-Bennett
MUS-PNO PIANO Jennifer Johanningsmeier
MUS-ORG ORGAN Janet Hamilton
MUS-FLT FLUTE Marci Dickinson
MUS-FLT FLUTE Jennifer Johanningsmeier
MUS-OBO OBOE Trevor Johnson
MUS-CLA CLARINET Naomi Henderson
MUS-SAX SAXOPHONE John Moore
MUS-SAX SAXOPHONE Cory Barnfield
MUS-HRN FRENCH HORN Colin Dorman
MUS-TPT TRUMPET Jerry Amend
MUS-TRB TROMBONE Mildred Kemp
MUS-TUB TUBA Chris Bettler
MUS-EUP EUPHONIUM Chris Bettler
MUS-PRC PERCUSSION Mark Tate
MUS-VOC VOICE Aaron Lundy
MUS-VOC VOICE Rick Rebilas
SUZ-VLN SUZUKI VIOLIN Leila Trindade
SUZ-VLN SUZUKI VIOLIN Michael Hill
SUZ-CEL SUZUKI CELLO Lori Getty
SUZ-PNO SUZUKI PIANO Marilyn Mathis
SUZ-PNO SUZUKI PIANO Joy Cofield
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
30 min
45 min
60 min
14
7
1
2
3
4
5
6
8
9
10
11
12
13
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
MUS-VLN VIOLIN Helen Bohannon
MUS-VLN VIOLIN Nicolas Fortin
MUS-VLN VIOLIN Michael Hill
MUS-VLN VIOLIN Ana Sarbu
MUS-VLA VIOLA Meghan Casper
MUS-VLA VIOLA Michael Hill
MUS-CEL CELLO Allison Olsen
MUS-CEL CELLO Jon Silpayamanant
MUS-BAS BASS Karl Olsen
MUS-GTR GUITAR Mario DaSilva
MUS-GTR GUITAR Andrew Rhinehart
MUS-EGT CONTEMPORARY/ELECTRIC GUITAR Zak Denham
MUS-EBS ELECTRIC BASS GUITAR Zak Denham
MUS-MND BEGINNING MANDOLIN Zak Denham
MUS-PNO PIANO Christine Brown
MUS-PNO PIANO Joy Cofield
MUS-PNO PIANO Marci Dickinson
MUS-PNO PIANO Grace Baugh-Bennett
MUS-PNO PIANO Jennifer Johanningsmeier
MUS-ORG ORGAN Janet Hamilton
MUS-FLT FLUTE Marci Dickinson
MUS-FLT FLUTE Jennifer Johanningsmeier
MUS-OBO OBOE Trevor Johnson
MUS-CLA CLARINET Naomi Henderson
MUS-SAX SAXOPHONE John Moore
MUS-SAX SAXOPHONE Cory Barnfield
MUS-HRN FRENCH HORN Colin Dorman
MUS-TPT TRUMPET Jerry Amend
MUS-TRB TROMBONE Mildred Kemp
MUS-TUB TUBA Chris Bettler
MUS-EUP EUPHONIUM Chris Bettler
MUS-PRC PERCUSSION Mark Tate
MUS-VOC VOICE Aaron Lundy
MUS-VOC VOICE Rick Rebilas
SUZ-VLN SUZUKI VIOLIN Leila Trindade
SUZ-VLN SUZUKI VIOLIN Michael Hill
SUZ-CEL SUZUKI CELLO Lori Getty
SUZ-PNO SUZUKI PIANO Marilyn Mathis
SUZ-PNO SUZUKI PIANO Joy Cofield
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
30 min
45 min
60 min
14
7
1
2
3
4
5
6
8
9
10
11
12
13
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
30 min
45 min
60 min
14
7
1
2
3
4
5
6
8
9
10
11
12
13
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
*Enter a lesson day/time only if you have scheduled your lesson time with the Arts Institute office.
PRIVATE THEATRE LESSONS
Full Spring Term : January 9 - April 23 60-minute weekly lessons for 14 weeks = $588.00*
*plus registration fee
Mid-Semester (Half) Term: February 27 - April 23
60-minute weekly lessons for 7 weeks = $294.00*
*plus registration fee
Select the desired course and teacher, day and time of lesson (if known), the number of lessons, and the tuition total.
Enter a lesson day/time only if you have scheduled your lesson time with the Arts Institute office.
>>NEW STUDENTS MUST CONTACT THE ARTS INSTITUTE OFFICE AT (812)941-2436 PRIOR TO REGISTERING FOR
PRIVATE LESSONS TO ENSURE LESSON DAY/TIME and TEACHER AVAILABILITY.
Information about each of the private lesson instructors can be found on the Faculty page .
DO NOT enter dollar signs ($)
COURSE CODE/TEACHER
DAY *
TIME *
LENGTH
# LESSONS
TUITION
THT-ACT PRIVATE COACHING FOR THE ACTOR J. R. Stuart
ACT-LLV LINKLATER VOICE (Voice for the Actor/Speaker) Dru Pilmer
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
60 min
14
7
1
2
3
4
5
6
8
9
10
11
12
13
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
THT-ACT PRIVATE COACHING FOR THE ACTOR J. R. Stuart
ACT-LLV LINKLATER VOICE (Voice for the Actor/Speaker) Dru Pilmer
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
60 min
14
7
1
2
3
4
5
6
8
9
10
11
12
13
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
THT-ACT PRIVATE COACHING FOR THE ACTOR J. R. Stuart
ACT-LLV LINKLATER VOICE (Voice for the Actor/Speaker) Dru Pilmer
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
60 min
14
7
1
2
3
4
5
6
8
9
10
11
12
13
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
30 min
45 min
60 min
14
7
1
2
3
4
5
6
8
9
10
11
12
13
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
*Enter a lesson day/time only if you have scheduled your lesson time with the Arts Institute office.
CLASSES (Young Artists Workshop, Group Suzuki Violin)
Full Term : January 9 - April 23
Mid-Semester (Half) Term: February 27 - April 23
Select the desired course and enter options when prompted.
Information about each of the private lesson instructors can be found on the Faculty page .
NOTE: The Young Artists Workshop class for ages 8-12 is SOLD OUT.
DO NOT enter dollar signs ($)
COURSE CODE and TITLE
TUITION
MUS-SGV SUZUKI GROUP VIOLIN CLASS - Leila Trindade ($21 per session, opt for 1-4 sessions)
ART-YA1 YOUNG ARTISTS WORKSHOP (ages 5-7; Feb. 4-Apr. 14) - $195
ART-YA1 YOUNG ARTISTS WORKSHOP (8-12yo; Feb. 4-Apr. 14) SOLD OUT
$
If registering more than one student on this form, enter first name of the student enrolling in the above course:
MUS-SGV SUZUKI GROUP VIOLIN CLASS - Leila Trindade ($21 per session, opt for 1-4 sessions)
ART-YA1 YOUNG ARTISTS WORKSHOP (ages 5-7; Feb. 4-Apr. 14) - $195
ART-YA1 YOUNG ARTISTS WORKSHOP (8-12yo; Feb. 4-Apr. 14) SOLD OUT
$
If registering more than one student on this form, enter first name of the student enrolling in the above course:
MUS-SGV SUZUKI GROUP VIOLIN CLASS - Leila Trindade ($21 per session, opt for 1-4 sessions)
ART-YA1 YOUNG ARTISTS WORKSHOP (ages 5-7; Feb. 4-Apr. 14) - $195
ART-YA1 YOUNG ARTISTS WORKSHOP (8-12yo; Feb. 4-Apr. 14) SOLD OUT
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
$
If registering more than one student on this form, enter the name of the student enrolling in the above course:
GIRL SCOUT WORKSHOPS:
To register for the IU Southeast Arts Institute Girl Scout Workshops, visit www.kyanags.org , or call toll-free (888)771-5170
• PAYMENT INFORMATION
Upon submitting this form, you will be redirected to the IUPay system where you can make a secure credit card payment. If you wish to pay by check or money order, please download a printable registration form and mail it along with your payment.
TUITION TOTAL
$
Registration Fee
(required each term)
Early Registration Fee*: $15 individual / $20 family)
Late Registration Fee*: $25 individual / $40 family)
$
* Registration Fees:
The registration fee is required each term
Full Spring Term
On or before January 6, 2012:
Pay Early Registration Fee of $15 ($20 for family)
On or after January 7, 2012:
Pay Late Registration Fee of $25 ($40 for family)
Mid-Semester (Half) Term
Before February 24, 2012:
Pay Early Registration Fee of $15 ($20 for family)
On or after February 25, 2012:
Pay Late Registration Fee of $25 ($40 for family)
FINAL TOTAL DUE
$
Amount of Payment
(At least 1/2 of total due at time of registration) *
*The half-payment option is only available to those enrolling for the full 14-week term. All others must pay the total amount due.
$
BALANCE DUE
$
If you prefer not to register online, you can download a printable Registration Form to mail in along with your payment. The free Adobe® Acrobat Reader® is required to view and print the form.