SRUTI Thyagaraja Aradhana 2002

Sign Up Form

 

 

Please Print and Mail to:

                SRUTI, 1436 Joel Drive, Ambler, PA 19002

 

 

 

Today’s Date:

 

Name Of Performer(s):

 

Age Group  (Select One): Adult / Child

If Child

                                Age:

                                Name of Parents:

 

Telephone Number:

 

Email Address:

 

Instrumental or Vocal (Describe):

 

Will sing (circle one): Separately / Together

 

Teacher’s Name

 

Name of the Krithi

 

Raga

 

Tala

 

Segment Preference: 

 

(1) Before Lunch

(2) After Lunch

(3) After the featured concert (after about 5 pm)                                                                     

 

 

 

Please Note:

 

  1. Please fill out the requested information in full because it will be used to prepare the roster on a first come-first served basis and also in the preparation of the certificate.  Name of the song is requested to prevent repeat of the same song back to back.
  2. Limit one song per person.
  3. If your name is called, and you are not present your name will be moved to the end of the line.