Registration deadline: May 11, 2012

Educator Attendee Information

Last Name
First Name
Address
City
State
Zip
E-mail Address
Phone Number
Cell/Alternate
Referred by (if any)
What influenced you to register for SMF? (Check all that apply)	Poster/Brochure Website MEA Convention Contact SC Faculty/Recruiter Friend

Festival Information

I will attend the Scott Lang Music Education Leadership Workshop on June 4, 2012
($50 Workshop Fee)

Workshop Fee is waived if you have students attending the festival or are enrolled for graduate credit.

Name of your student(s) attending the festival:

I am interested in overnight accommodations on campus. Contact me for more information.

Graduate Credit Options

Earn one to three graduate credit hours at a greatly reduced tuition price of $95 per credit hour.

Teachers who choose three graduate credit hours can receive free room and board on campus for the week while they work with Southwestern College faculty during the Summer Music Festival.

Please contact me about graduate credit and the SC Master of Arts in Music degree

Please contact me about graduate credit for transfer to another institution

Professional Development Points

Gain Professional Development Points by attending Scott Lang's workshop on Music Education Leadership. We will work with you to design an educational experience at the Summer Music Festival to meet your institution's requirements for Professional Development Points.

Please contact me about Professional Development Points

Payment

Payment may be made by either:

Credit/debit card by calling: 620-229-6141 or 1-800-846-1543, ext. 6141

Check by mailing to:

Julie Headrick, Director of Camps & Conferences
Southwestern College
100 College St.
Winfield, KS 67156-2499

Any checks should be made payable to Southwestern College.

In person on day of workshop