Senior Application

Name

Complete Mailing Address

Phone:

School & Grade

Name of Solo (please include Opus & movement)

Solo Recording ( Note: this must be a recording of you performing your piece with your accompanist.)

Composer

Publisher

Playing time of piece (Maximum time 15 minutes)

Instrument

Instructor (preferably private teacher, however High School Music Director is acceptable)

Teacher's phone

Teacher's Email

Accompanist

Accompanist's Phone

Accompanist's Email

As this student's teacher, I verify that the applicant is prepared to perform the selected solo. (Teacher's Signature)

Applicant's Signature

I have read the competition rules and allow my child to participate in the Competition. (Applicant's Parent's Signature)