SLAMTA Holiday Play-A-Thon 2023 Registration Form 
Open to all instrumental and vocal students*

Dates:
Saturday, December 2 (11 am - 5 pm) and Sunday, December 3 (noon - 5 pm)

Location:
St. Louis Galleria Mall
1155 St. Louis Galleria St.
St. Louis MO  63117

Registration Fee:
$15 per student

Deadline to enter:
November 15, 2023 at 11:59 p.m.

Please fill in the information below and send online payment via PayPal or mail a check payable to SLAMTA, and addressed to Bethany Nikstad, SLAMTA Treasurer, 3301 Magnolia Ave., St. Louis, MO 63118.  Early registration is encouraged.

For questions, please contact Nancy Fletcher at slamta.playathonchair@gmail.com

*Please note that no PA systems will be permitted due to fire codes.
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Teacher Name *
Email Address 
You will be sent confirmation and your time slot by email
 *
Phone Number 
For the day of the event if needed
 *
Amount of time requested *
# of students x $15 =

This section is for "Pianos for People" only:  # of students x $7.50 =

Payment options below  (Paypal preferred) *
Preferred time requested:
Please note there is no guarantee that you will get your specified time, but I will do my best! (UPDATE: MANY TIMES HAVE BEEN FILLED. THOSE REMAINING ARE THE ONLY ONES LISTED BELOW) *
Required
I am willing to perform if there are empty time slots:
In the event that every time slot is not filled, teachers will be asked to fill time.
 *
Required
Is there anything you want to share with the play-a-thon chair?
Submit
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