Music Festival Entry Form

1. Category

Category (required)

2. Performer Information

Last Name (required)

First (required)

Address (required)

City (required)

Province (required)

Postal Code (required)

Phone Number (required)

Email (required)
*Confirmation will be sent to this email

Age Today

3. Teacher Information

Last Name (required)

First Name (required)

Address

City

Province

Postal Code

Phone Number

Email (required)

4. Class Information

Composition 1

Name of Composition (required)

Composer (required)

Class Number (required)

Fee (required)

Composition 2

Name of Composition

Composer

Class Number

Fee

Composition 3

Name of Composition

Composer

Class Number

Fee

Composition 4

Name of Composition

Composer

Class Number

Fee

Composition 5

Name of Composition

Composer

Class Number

Fee

TOTAL FEE (required)

5. Payment of Entry Fee

Payment by: (required)

Credit Card Number (no spaces) (required)

Expiry Date (no spaces) (required)

Cardholder's Name (required)

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