Guitar Institute of Music Therapists
Registration Form

Please print out and mail this form with your check payable to:
The Rebecca Center at Molloy College
1000 Hempstead Ave.
PO Box 5002
Rockville Centre, NY 11571-5002
Attn: John Carpente, Director

Name:
Address:
Telephone:
E-mail:

LOCATION: The Rebecca Center at Molloy College, 1000 Hempstead Ave, Rockville Centre, N.Y.

INFORMATION: Contact John Carpente at jcarpente@erols.com or 516-678-5000 Ext. 6643
http://www.therebeccacenter.org

Introduction to Clinical Improvisation on Guitar: Sunday, June 5th , 10 am - 3 pm.
Cost: $75 per person; Payment Due May 19
Developing a Voice Through the Guitar: Sunday, June 19th, 10 am - 3 pm
Cost: $75 per person; Payment Due May 26
Expanding Your Guitar Language: Sunday, June 26th , 10 am - 3 pm.
Cost: $75 per person; Payment Due June 1

All Courses Include Lunch to Allow Time for Networking and Exchanging Ideas
I Have Enclosed a Check for: $

REFUND POLICY: A 75% refund if you cancel 1 week prior to your course, 50% refund if you cancel within 48 hours prior to your course. No refunds for cancellations of less than 48 hours. The Rebecca Center reserves the right to cancel these programs due to insufficient enrollment or unforeseen circumstances. Registrants will be notified by phone within 48 hours prior to the program; full refunds will be issued.

The above courses are approved by the Certification Board for Music Therapists (CBMT) for 18 Continuing Music Therapy Education credits. The Rebecca Center for Music Therapy, provider # P071 maintains responsibility for program quality and adherence to CBMT policies and criteria.