YOUNG ARTIST COMPETITION APPLICATION

Postmarked on or before November 28, 2009

 


Entrant’s Name_________________________________Date___________________

Age__________ Date of birth _____________________ School Grade___________

Parent's Name ________________________________________________________

Address _____________________________________________________________

City ____________________County________________State____Zip____________

Telephone number (______)________-________

School Enrolled ______________________________________________________

Instrument __________________________________________________________

Composer: __________________________________________________________

Title of Composition: __________________________________________________

Approximate duration of performance (max. 15 min.): _____________ minutes

Music teacher's name _________________________________________________

Music teacher's address _______________________________________________

City ____________________County________________State____Zip____________

Telephone number (______)________-________


Signatures (Three signatures must be provided):

_________________________________Entrant’s signature

_________________________________Parent signature

_________________________________Music teacher signature




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