Music & Technology CMTE Registration 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 NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Can you attend this CMTE?
Are you a

Other
Do you want a certificate of attendance or a CMTE certificate?
Will you be able to attend the Potluck (5-7) after the CMTE?
If you can attend the potluck, which item will you plan to bring?
Will you be able to attend the SRU MT Club Benefit Concert after the CMTE from 7:30-8:30?
We'd like to ask you a few questions about your technology use:
Do you use a Mac or a PC?
Will you be bringing your own laptop?
What is your current experience with music technology?
Please select the music technology you are ALREADY FAMILIAR with (select all that apply).
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