2024 Sierra DEC Piano Graduation

Parent Registration of Graduating Student

Sierra Branch December Piano Graduation

December 7, 2024
2:00 pm
St. John's Luthern Church
1701 L Street, Sacramento

REGISTRATION DEADLINE IS November 22 (6:00PM)

(one form per student and level)

STUDENT NAME*

First NameLast Name

Age*

Gender*

Level - Select one*

Level VI and Level VII ONLY

INDICATE PERFORMANCE TIME

Parent Name*

First NameLast Name

Parent Mobile Phone*

XXX-XXX-XXXX

Parent Email Address*

example@example.com

Your Teacher*

NOTE Teacher must be an active member of SMAC

PREFERRED Recital Time*

We will try to accommodate but cannot guarantee

Student Participation Fee$30.00

Total $0.00

By submitting this form, I am signing it electroncially and I understand its contents, requirments and choices I have made herein.

REGISTRATION DEADLINE Is November 22, 2024 6:00PM

Questions? Contact Chiunghwa Bryce