Please select a ticket for EVERY person who is attending, including Performers and Teachers. Please register by Sunday, November 3rd, 9 am Pacific:
*
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next
( X )
Student/Child ticket
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Teacher/Adult ticket
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
VIP SEATING !!
$
65.00
VIP Seats will be located in the center sections! The best view to see your "star" shine!
Quantity
1
2
3
4
5
6
7
8
9
10
I LOVE SMPLA and SMAC-LA and want to support Music Education!
$
1,000.00
I LOVE SMPLA and SMAC-LA and want to support Music Education!
$
500.00
I LOVE SMPLA and SMAC-LA and want to support Music Education!
$
250.00
I LOVE SMPLA and SMAC-LA and want to support Music Education!
$
100.00
I LOVE SMPLA and SMAC-LA and want to support Music Education!
$
50.00
I LOVE SMPLA and SMAC-LA and want to support Music Education!
$
25.00
Total
$
0.00
Performing Student's Name
First Name
Last Name
Instrument
Please Select
Violin
Viola
Cello
Bass
Guitar
Flute
Current Suzuki Book & Piece
Enter current level
Parent/Adult First and Last Name
*
Parent/Adult Email
*
example@example.com
Parent/Adult Mobile Phone
*
XXX-XXX-XXXX
Teacher's Name
Teacher's Email
example@example.com
Please list any additional students who will be performing, including their instrument and what Suzuki Book/Piece they are currently learning:
I have read, understand and accept the Code of Conduct and the Photo & Video Release for Minors
*
Yes, I agree to the Code of Conduct and the Photo & Video Release (acceptance is mandatory to participate in this event.)
Code of Conduct
Photo & Video Release
Please donate an item or service to the Silent Action!! Please describe below, and we will contact you!
Electronic Signature Agreement: By submitting this form, I am signing it electronically and I understand its contents, requirements and the choices I have made herein.
*
I agree (Agreement is mandatory to participate in this event)
Questions? Contact
Robin Johnson, Co-Director
Submit
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