Entry Form

Student Name:

Grade Level for 2012-2013:

School & Music Teacher:

Private instruction outside of school?

If yes, name of teacher:

Name of parent(s):

Address:

Phone:

E-mail address:

Category of entry:

Piece to perform: (*Length must be less than 3 minutes. You may make cuts to achieve this.) No “canned” recorded accompaniments

Copyright information: (As this is a public performance involving cash awards compliance with copyright rules is very important. Failure to give attention to this issue could invalidate a semi-finalist.)

Date:

Don’t Forget!
Submit a completed entry form, recording and $25 non-refundable entry fee (check or cash) to Midwest Musical Arts by 6 pm, Jan 15th , 2013

(Midwest Musical Arts at 5330 SW 17th, Topeka, KS 66604).

Would you rather print a form to send? Click here.

Topeka Young Musician Awards

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