Piano Competition Application | Arizona Musicfest

2023 Piano Application

All fields of this form are required. Please take your time to ensure accuracy. You may save your form and complete it another time if needed.

Student Name*

First

Middle

Last
Date of Birth*

MM slash DD slash YYYY
Street Address*

Street Address

Address Line 2

City

State

ZIP Code
Mobile Phone Number*
Home Phone Number
Email*

Enter Email

Confirm Email
Name of School*
Grade*

Please enter a number from 7 to 12.
Category*
- Division I (7th & 8th Grades)
- Division II (9th & 10th Grades)
- Division III (11th & 12th Grades)
Parent or Guardian Name*

First

Last
Parent or Guardian Address*

Same as applicant

Street Address

Address Line 2

City

State

ZIP Code
Parent or Guardian Mobile Phone*
Parent or Guardian Home Phone
Parent or Guardian Email*

Enter Email

Confirm Email
Title of First Composition*
(Please include movement information)
Composer of First Composition*

First

Last
Duration of First Composition (in minutes)*

Reminder: Length of Performance Slots:
Division I: 7 minutes
Division II: 10 minutes
Division III: 15 minutes
Will you perform two pieces?*
Note: Not required for Division I students.
Division II students may perform two pieces.
Division III students must perform two pieces.
- Yes
- No
Title of Second Composition*

(Please include movement information)
Composer of Second Composition*

First

Last
Duration of Second Composition (in minutes)*

Reminder: Length of Performance Slots:
Division I: 7 minutes
Division II: 10 minutes
Division III: 15 minutes
Music Teacher Name*

First

Last

NOTE: The applicant hereby declares that their teacher has confirmed their readiness to enter this competition.
Music Teacher Phone Number*
Music Teacher Email Address*
Release from Competition Applicant*
In consideration of my participation in the Arizona Musicfest Piano Competition:
1. I hereby grant to Arizona Musicfest permission to photograph me and to make audio and/or videotaped recordings of my musical performance during and in connection with my participation in the Competition.
2. I hereby grant to Arizona Musicfest permission to use and publish my image, audio and videotaped recordings of my performance, my name, and any other information I provide, in print and/or electronic media, for the purpose of promoting the Competition and Arizona Musicfest.
3. I hereby release Arizona Musicfest from any and all liability in connection with my participation in the Competition.

I confirm my agreement to this release.
Release from Competition Applicant Parent or Guardian*
In consideration of my child’s participation in the Arizona Musicfest Piano Competition:
1. I hereby grant to Arizona Musicfest permission to photograph my child and to make audio and/or videotaped recordings of their musical performance during and in connection with their participation in the Competition.
2. I hereby grant to Arizona Musicfest permission to use and publish the image, audio and videotaped recordings of my child’s performance, their name, and any other information we provide, in print and/or electronic media, for the purpose of promoting the Competition and Arizona Musicfest.
3. I hereby release Arizona Musicfest from any and all liability in connection with my and my child’s participation in the Competition.

I confirm my agreement to this release.

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