Form

Registration Form--Introduction to the Use of Technology in Music Therapy

CMTE with Vern Miller, MT-BC
Saturday, November 5, 2011, from 1:00 - 5:00 at Slippery Rock University, 103 Swope.
To register for this CMTE, please complete the registration form below.

For more information, contact Dr. Susan Hadley (susan.hadley@sru.edu).
Full Name*
First Name Last Name
E-mail*

Address

Phone Number
- Area Code Phone Number
Can you attend this CMTE?*

Yes No Maybe
Are you a

Music Therapist Counselor Student
Do you want a certificate of attendance or a CMTE certificate?*

Certificate of Attendance CMTE Certificate None
Will you be able to attend the Potluck (5-7) after the CMTE?

Yes No Maybe
If you can attend the potluck, which item will you plan to bring?

Main Dish Drinks Dessert Chips
Will you be able to attend the SRU MT Club Benefit Concert after the CMTE from 7:30-8:30?

Yes No Maybe
We'd like to ask you a few questions about your technology use:
Do you use a Mac or a PC?

Mac PC Both
Will you be bringing your own laptop?

Yes No
What is your current experience with music technology?

I have little to no experience with music technology. I have a little experience, but there's a lot I'd still like to know. I am an experienced user
Please select the music technology you are ALREADY FAMILIAR with (select all that apply).

Switches & BigMacks MIDI Equipment Recording Devices Computer Generated Music GarageBand Ableton Live Wiimote & Guitar Hero
Additional Comments
We look forward to seeing you on November 5, 2011!
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Registration Form--Introduction to the Use of Technology in Music Therapy