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Performance Contest Regionals Entry Form (SA)
Deadline: February 24

Use the tab key or mouse to move between answer fields. Using the Enter key will submit your form.
Contest Category
Select Category
Winner or Alternate
Region
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
Please upload a jpeg image of the student below. Include contest category, student name, and association in the file name (piano7-8JaneSmithAustin).
Photo Attachment: File size no more than 2.7 MB
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
NCTM
Address
City
State
Zip Code
Phone Number
Email
Association
Other Teachers in past 12 months
Monitoring
If you are unable to volunteer at convention, you must pay $50 instead. Please fill out a Performance Contest Monitor Fee Payment Form and submit payment.
Scheduling Alias
Teacher`s MTNA number
Please select an alias to be used in place of the student`s name in the semi-finals schedule.
Scheduling AliasTo protect student`s identity
Additional Instructions
Receipt confirmations will be sent to the email address listed below.
*Email of Local Performance ChairValid 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.
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