Register for Marc Naylor Masterclass

Please provide your contact information via the form below.

Registration Form - Part 1

First Name*

Surname*

Date of Birth*

Mobile Phone Number*

Email Address*

Are you a Clasax member?* Are you a Clasax member?* Yes No

Which piece of music would you like to play? Please include as much detail as possible (title, composer, movements or sections etc).*

Would you like to use an accompanist for the masterclass?* Would you like to use an accompanist for the masterclass?* No accompanist Provided accompanist - Greg Skalak (0432 981 043) Own accompanist

Photographs will be taken during the masterclass, released on social media and in the Clasax magazine. If you do not wish to be photographed, please tick the box below.* Photographs will be taken during the masterclass, released on social media and in the Clasax magazine. If you do not wish to be photographed, please tick the box below.* I do NOT want to be photographed at the masterclass.

14 + 12 =

**Fields marked with an asterisk (*) are required responses.**

Observer – Please click Submit to record your responses for Part 1 . No payment required.

Masterclass playing participant – Submit part 1 and proceed to Part 2 to complete payment.

Registration Form – Part 2

Please complete payment via bank transfer or paypal

Account Name: The Clarinet & Saxophone Society of Victoria

Account BSB: 063 001

Account Number: 00905518

Please use your full name as transaction reference

Email or post your payment confirmation receipt to the addresses below

Email: clasaxvictoria@gmail.com

Postal Address: PO Box 355, Ashburton, Vic 3147

An incorporated Society registered in Victoria under No. Inc. A15121P

ABN 82 556 321 143