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NSM Perform-a-thon 2017, Sign-up Form
In order to participate in this annual fundraiser, please submit this form to the office by 5 pm, Monday, April 3rd

All are welcome to perform, however we suggest a fundraising goal of $25 to participate.
Please bring your pledge money to the Perform-a-thon on April 9th or have your friends and family donate online!
Full donation details available at www.newschoolofmusic.org/events-performance/perform-a-thon-2017

Student Name
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Contact Name
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Contact Phone Number
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Contact email
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Instrument
Your answer
Teacher
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Length of study at NSM
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Student age/grade
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School
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Info to share in Perform-a-thon program
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Title of piece(s) to be performed
Your answer
Do you need an accompanist?
Recital time requested (check all that apply - we'll do our best to accommodate your request)
Required
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