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SMMUSD MUSIC Stairway 2014 T-Shirt, DVD and Program Dedication Orders Elementary Honor Group Feb 27th Trip Registration & Use this form if you do NOT want to register online and/or you wish to pay by check. If you wish to register and pay on line using your credit card or PayPal, click on this link: StairwayForms. Student name Grade School Instrument Music Group ELEMENTARY Honor Band, Orchestra or Choir MIDDLE SCHOOL Band, Orchestra or Choir HIGH SCHOOL Band, Orchestra or Choir Your First Name Your Last Name Street Address City ST Zip Code e-mail Address Your Home Phone Work or Cell Phone

Stairway Elementary Honor Group Disneyland Trip & … MUSIC Stairway 2014!! T-Shirt, DVD and Program Dedication Orders!! Elementary Honor Group Feb 27th Trip Registration &!! Use this

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SMMUSD MUSIC Stairway 2014

   

T-Shirt, DVD and Program Dedication Orders

   

Elementary Honor Group Feb 27th Trip

Registration &    

Use this form if you do NOT want to register online and/or you wish to

pay by check.        

If you wish to register and pay on line using your credit card or PayPal, click on this link: StairwayForms.      

Student name

Grade

 School Instrument

 Music Group

ELEMENTARY Honor Band, Orchestra or Choir  

MIDDLE SCHOOL Band, Orchestra or Choir  

HIGH SCHOOL Band, Orchestra or Choir  

Your First Name

Your Last Name

 Street Address  City ST Zip Code  

e-mail Address

 Your Home Phone

Work or Cell Phone

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DEADLINE HAS PASSED FOR MAIL-IN DVD & DEDICATION ORDERS
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The Elementary Honor Band, Orchestra and Choir trip to Disneyland is on Thursday, February 27, 2014.

   

Deadline for payment is February 12, 2014.    

For details about the trip, please refer to the letter given to students and also e-mailed home.

         

REGISTER YOUR STUDENT FOR THE DISNEYLAND TRIP      Select your Child's School Music Teacher

Ms. Bersch

Mrs.Quiroz

Ms. Cruz

Mr.Ravaglioli

Mrs. Justin

   

Mr. Pawling

Mrs. Lockrem

Mrs. Gravelle

Mr. Munoz

Mr. Tellier  Cell Phone 1

Cell Phone 2

         

PARENT PERMISSION SLIP and CODE OF CONDUCT FORM Students cannot be allowed on the bus to Disneyland without a permission slip/code of conduct form. Use this link to access the form: Let's Go to Disneyland!.

   

After you complete the form, please print and sign it. Please enclose the signed permission and conduct forms along with this form and your check payable to "SMMUSD Music," and mail it all to:

   

SMMUSD 1638 17th St., Santa Monica, CA Attn: Brenda Carrillo

CAN YOU HELP CHAPERONE THE GROUP ON THURSDAY, FEB 27TH? (Please plan to carpool, only students and teachers can ride the bus.)

 Yes! My Name I'll be there!

Cell Phone#

     

 

2014 TRIP FEE  

Check if any apply:

my child has an ANNUAL PASS to Disneyland  

I have an ANNUAL PASS to Disneyland

 Child fees include backstage entry, the music clinic and transportation ---plus entry to Disneyland if you do not have an Annual Pass.

 Select what applies for your child:

$95 for child  

$50 for child with Annual Pass  

scholarship requested (you will be contacted)

Select what applies to you, if you are chaperoning

$0 for chaperone with Annual Pass

$63 for chaperone

     

T-Shirts, Concert DVDs, Program Dedications  

2014 Stairway T-shirts - Only $10! Cut in a fit that is comfy but not sloppy, these t-shirts feature the beautiful 2014 Stairway logo.

     

SHOW YOUR SUPPORT FOR OUR FANTASTIC MUSIC PROGRAM!

To order the T shirt at left, enter the quantity you want by size below.

Youth L 14-16

Youth XL 18-20

Adult Med

Adult Large

Adult XL

 T-Shirts will be delivered to and available for purchase at elementary honor rehearsals in January. For middle and high school honor groups, plan to pick up your merchandise at the concert.

 

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DEADLINE HAS PASSED FOR MAIL-IN DVD & DEDICATION ORDERS
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