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Performance Contest Local Entry Form (SA)
Use the tab key or mouse to move between answer fields. Using the Enter key will submit your form.
For local use only. This form is not required by state.
Contest Category
Contest Category
Grade Category
Student Information
Last Name
First Name
Address
City
State
Zip Code
Phone Number
Email (parent`s or student`s)
Age
School Grade
Association where Theory Test was taken
Level of Theory Test taken
Date of Theory test
Fall
Spring
Score (if known)
Parent`s Names
Parent`s Email
Repertoire Selections
TitleSelection #1
Composer
Total Performance Time
 
TitleSelection #2
Composer
Total Performance Time
 
TitleSelection #3
Composer
Total Performance Time
 
TitleSelection #4
Composer
Total Performance Time
 
TitleSelection #5
Composer
Total Performance Time
 
TitleSelection #6
Composer
Total Performance Time
Teacher Information
Name
Address
City
State
Zip Code
Phone Number
Email
Association
Other Teachers in past 12 months
Teacher preference of day to volunteer
If you are unable to volunteer at convention, you must pay $50 instead. Please fill out an MP Form for Individual Teachers and submit payment.
Student Alias
Teacher`s MTNA number
Student AliasTo protect student`s identity
Additional Information and Instructions
Receipt confirmations will be sent to the email address listed below.
*Local Performance Chair`s Email AddressValid email is required
Use this form to enter each student. After you submit the form, you will see a confirmation page. You may return to this form to register additional students using the link on the confirmation page or using your browser`s back arrow.

Since the form confirmations will be emailed to the local performance chair`s email address, you may want to print your onscreen confirmation page for your records. Please remember to pay registration fees to your local association.

Local winners should expect to email a jpeg photo to the local chair after the local contest.
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